P28.5 Respiratory failure of newborn

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Excludes2 (not included here)

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

Applies from P28 Other respiratory conditions originating in the perinatal period

Code also

• , if applicable, congenital malformations of the respiratory system (Q30-Q34)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 213 — Cardio-Respiratory Failure and Shock

MS-DRG index

Defines the logic of DRG(s) 791 in MDC 15.

Approximate ICD-9-CM (GEMs)

• 770.84 Respiratory failure of newborn

Code annotations containing back-references to P28.5

Back-references to P28.5

• Type 1 Excludes: J96 Respiratory failure, not elsewhere classified ("respiratory failure of newborn (P28.5)")
• Type 2 Excludes: P22.0 Respiratory distress syndrome of newborn ("respiratory failure of newborn NOS (P28.5)")
• Type 1 Excludes: P22.8 Other respiratory distress of newborn ("respiratory failure of newborn NOS (P28.5)")
• Type 1 Excludes: P22.9 Respiratory distress of newborn, unspecified ("respiratory failure of newborn NOS (P28.5)")
• Type 1 Excludes: R06 Abnormalities of breathing ("respiratory failure of newborn (P28.5)")
• Type 1 Excludes: R09 Other symptoms and signs involving the circulatory and respiratory system ("respiratory failure of newborn (P28.5)")
• Type 1 Excludes: R09.2 Respiratory arrest ("respiratory failure of newborn (P28.5)")
• Type 1 Excludes: R09.2 Respiratory arrest ("respiratory insufficiency of newborn (P28.5)")

Diagnosis Index entries for P28.5

• Failure, failed › respiration, respiratory › newborn
• Inadequate, inadequacy › pulmonary › function › newborn
• Inadequate, inadequacy › pulmonary › ventilation, newborn
• Insufficiency, insufficient › respiratory › newborn
• Respiration › insufficient, or poor › newborn

Nearby codes

• P28.40 Unspecified apnea of newborn
• P28.41 Central neonatal apnea of newborn
• P28.42 Obstructive apnea of newborn
• P28.43 Mixed neonatal apnea of newborn
• P28.49 Other apnea of newborn
• P28.5 Respiratory failure of newborn (this code)
• P28.8 Other specified respiratory conditions of newborn
• P28.81 Respiratory arrest of newborn
• P28.89 Other specified respiratory conditions of newborn
• P28.9 Respiratory condition of newborn, unspecified