P28.5

Billable

Respiratory failure of newborn

HCC Category Mapping

V28HCC 213 — Cardio-Respiratory Failure and Shock

0.000

What This Code Means

A newborn's lungs are unable to provide adequate oxygen to the blood or remove carbon dioxide effectively, requiring respiratory support.

Coding Tips

•Document the severity and underlying cause (prematurity, infection, aspiration, etc.)
•Specify if mechanical ventilation or other respiratory support is required

Clinical Significance

Respiratory failure of newborn represents the inability of the respiratory system to maintain adequate gas exchange, requiring immediate and intensive intervention. This life-threatening condition often necessitates mechanical ventilation and carries significant risk for long-term complications including neurodevelopmental impairment and chronic lung disease.

Documentation Requirements

✓Clinical evidence of inadequate gas exchange
✓Blood gas analysis showing hypoxemia or hypercapnia
✓Gestational age and birth weight
✓Mechanical ventilation requirements
✓Oxygen saturation measurements
✓Associated respiratory distress signs
✓Underlying cause if identified
✓Response to respiratory interventions

Excludes 2 — Not included here, may code separately

respiratory arrest of newborn (P28.81)
respiratory distress of newborn (P22.0)

Commonly Confused Codes

P28.81 — Respiratory arrest, complete cessation of breathing P22.0 — Respiratory distress syndrome, specific cause J96.00 — Acute respiratory failure in older patients P28.0 — Primary atelectasis, specific lung collapse

Code Hierarchy

└P28Other respiratory conditions originating in the perinatal period └P28.5Respiratory failure of newborn

└P28.5Respiratory failure of newborn