P27.8

Billable

Other chronic respiratory diseases originating in the perinatal period

HCC Category Mapping

V28HCC 213 — Cardio-Respiratory Failure and Shock

0.000

What This Code Means

Other long-term lung and breathing problems that start during the newborn period, excluding bronchopulmonary dysplasia.

Coding Tips

•Use this code only when the specific chronic respiratory condition is not bronchopulmonary dysplasia or unspecified
•Ensure the condition originated in the perinatal period (before 28 days of life) to justify the P27 category

Clinical Significance

Other chronic respiratory diseases originating in the perinatal period represent various long-term pulmonary conditions that develop during the neonatal period but don't meet criteria for specific diagnoses like BPD or Wilson-Mikity syndrome. These conditions require ongoing respiratory management and monitoring for potential complications throughout childhood.

Documentation Requirements

✓Evidence of chronic respiratory condition
✓Clear perinatal period onset
✓Gestational age and birth weight
✓Specific description of respiratory disease type
✓Duration of symptoms or oxygen requirement
✓Exclusion of BPD and Wilson-Mikity syndrome
✓Long-term respiratory support needs
✓Associated complications or comorbidities

Commonly Confused Codes

P27.1 — Bronchopulmonary dysplasia, specific diagnosis P27.0 — Wilson-Mikity syndrome, specific diagnosis P27.9 — Unspecified chronic respiratory disease J44.9 — Unspecified COPD, adult condition

Code Hierarchy

└P27Chronic respiratory disease originating in the perinatal period └P27.8Other chronic respiratory diseases originating in the perinatal period

└P27.8Other chronic respiratory diseases originating in the perinatal period