Respiratory distress of newborn
In Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29), chapter 16: Certain Conditions Originating in the Perinatal Period
4 billable codes under P22: 1 is an MCC; 1 map to HCC 213 (Cardio-Respiratory Failure and Shock).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of conditions that originate from before birth through the 28th day after birth, including newborn record rules, prematurity, low birth weight, sepsis, and stillbirth.
- General Perinatal Rules (page 71)
- Observation and Evaluation of Newborns for Suspected Conditions not Found (page 73)
- Coding Additional Perinatal Diagnoses (page 73)
- Prematurity and Fetal Growth Retardation (page 73)
- Low birth weight and immaturity status (page 74)
- Bacterial Sepsis of Newborn (page 74)
- Stillbirth (page 74)
- COVID-19 Infection in Newborn (page 74)
All codes under P22
P22 can't be used on a claim. Pick a billable code below; grey headings group them.
P22 MS-DRGs
As the principal diagnosis, the billable codes under P22 group to MS-DRG 794 or 790 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 794 Neonate with Other Significant Problems (3 of 4 codes)
- DRG 790 Extreme Immaturity or Respiratory Distress Syndrome, Neonate (1 of 4 codes)
Other codes that refer to P22
Notes on these codes point to P22.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Lung Diseases
When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease. If all types of lung disease are lumped together, it is the number three killer in the United States.
Read more about lung diseases on MedlinePlusUncommon Infant and Newborn Problems
It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.
Read more about uncommon infant and newborn problems on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.