Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)
P19Metabolic acidemia in newborn
Includes: metabolic acidemia in newborn
P19.0Metabolic acidemia in newborn first noted before onset of labor
P19.1Metabolic acidemia in newborn first noted during labor
P19.2Metabolic acidemia noted at birth
P19.9Metabolic acidemia in newborn, unspecified
P22Respiratory distress of newborn
P22.0Respiratory distress syndrome of newborn
› Cardiorespiratory distress syndrome of newborn
› Hyaline membrane disease
› Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn
› Pulmonary hypoperfusion syndrome
› Respiratory distress syndrome, type I
Excludes 2: respiratory arrest of newborn (P28.81)
› respiratory failure of newborn NOS (P28.5)
P22.1Transient tachypnea of newborn
› Idiopathic tachypnea of newborn
› Respiratory distress syndrome, type II
› Wet lung syndrome
P22.8Other respiratory distress of newborn
Excludes 1: respiratory arrest of newborn (P28.81)
› respiratory failure of newborn NOS (P28.5)
P22.9Respiratory distress of newborn, unspecified
Excludes 1: respiratory arrest of newborn (P28.81)
› respiratory failure of newborn NOS (P28.5)
P23Congenital pneumonia
Includes: infective pneumonia acquired in utero or during birth
Excludes 1: neonatal pneumonia resulting from aspiration (P24.-)
P23.0Congenital pneumonia due to viral agent
Use Additional Code: code (B97) to identify organism
Excludes 1: congenital rubella pneumonitis (P35.0)
P23.1Congenital pneumonia due to Chlamydia
P23.2Congenital pneumonia due to staphylococcus
P23.3Congenital pneumonia due to streptococcus, group B
P23.4Congenital pneumonia due to Escherichia coli
P23.5Congenital pneumonia due to Pseudomonas
P23.6Congenital pneumonia due to other bacterial agents
› Congenital pneumonia due to Hemophilus influenzae
› Congenital pneumonia due to Klebsiella pneumoniae
› Congenital pneumonia due to Mycoplasma
› Congenital pneumonia due to Streptococcus, except group B
Use Additional Code: code (B95-B96) to identify organism
P23.8Congenital pneumonia due to other organisms
P23.9Congenital pneumonia, unspecified
P24Neonatal aspiration
Includes: aspiration in utero and during delivery
P24.0Meconium aspiration
Excludes 1: meconium passage (without aspiration) during delivery (P03.82 )
› meconium staining (P96.83 )
P24.00Meconium aspiration without respiratory symptoms
› Meconium aspiration NOS
P24.01Meconium aspiration with respiratory symptoms
› Meconium aspiration pneumonia
› Meconium aspiration pneumonitis
› Meconium aspiration syndrome NOS
Use Additional Code: code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
P24.1Neonatal aspiration of (clear) amniotic fluid and mucus
› Neonatal aspiration of liquor (amnii)
P24.10Neonatal aspiration of (clear) amniotic fluid and mucus without respiratory symptoms
› Neonatal aspiration of amniotic fluid and mucus NOS
P24.11Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms
› Neonatal aspiration of amniotic fluid and mucus with pneumonia
› Neonatal aspiration of amniotic fluid and mucus with pneumonitis
Use Additional Code: code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
P24.2Neonatal aspiration of blood
P24.20Neonatal aspiration of blood without respiratory symptoms
› Neonatal aspiration of blood NOS
P24.21Neonatal aspiration of blood with respiratory symptoms
› Neonatal aspiration of blood with pneumonia
› Neonatal aspiration of blood with pneumonitis
Use Additional Code: code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
P24.3Neonatal aspiration of milk and regurgitated food
› Neonatal aspiration of stomach contents
P24.30Neonatal aspiration of milk and regurgitated food without respiratory symptoms
› Neonatal aspiration of milk and regurgitated food NOS
P24.31Neonatal aspiration of milk and regurgitated food with respiratory symptoms
› Neonatal aspiration of milk and regurgitated food with pneumonia
› Neonatal aspiration of milk and regurgitated food with pneumonitis
Use Additional Code: code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
P24.8Other neonatal aspiration
P24.80Other neonatal aspiration without respiratory symptoms
› Neonatal aspiration NEC
P24.81Other neonatal aspiration with respiratory symptoms
› Neonatal aspiration pneumonia NEC
› Neonatal aspiration with pneumonitis NEC
› Neonatal aspiration with pneumonia NOS
› Neonatal aspiration with pneumonitis NOS
Use Additional Code: code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
P24.9Neonatal aspiration, unspecified
P25Interstitial emphysema and related conditions originating in the perinatal period
P25.0Interstitial emphysema originating in the perinatal period
P25.1Pneumothorax originating in the perinatal period
P25.2Pneumomediastinum originating in the perinatal period
P25.3Pneumopericardium originating in the perinatal period
P25.8Other conditions related to interstitial emphysema originating in the perinatal period
P26Pulmonary hemorrhage originating in the perinatal period
Excludes 1: acute idiopathic hemorrhage in infants over 28 days old (R04.81)
P26.0Tracheobronchial hemorrhage originating in the perinatal period
P26.1Massive pulmonary hemorrhage originating in the perinatal period
P26.8Other pulmonary hemorrhages originating in the perinatal period
P26.9Unspecified pulmonary hemorrhage originating in the perinatal period
P27Chronic respiratory disease originating in the perinatal period
Excludes 2: respiratory distress of newborn (P22.0-P22.9)
P27.0Wilson-Mikity syndrome
› Pulmonary dysmaturity
P27.1Bronchopulmonary dysplasia originating in the perinatal period
P27.8Other chronic respiratory diseases originating in the perinatal period
› Congenital pulmonary fibrosis
› Ventilator lung in newborn
P27.9Unspecified chronic respiratory disease originating in the perinatal period
P28Other respiratory conditions originating in the perinatal period
Code Also: , if applicable, congenital malformations of the respiratory system (Q30-Q34)
P28.0Primary atelectasis of newborn
› Primary failure to expand terminal respiratory units
› Pulmonary hypoplasia associated with short gestation
› Pulmonary immaturity NOS
P28.1Other and unspecified atelectasis of newborn
P28.10Unspecified atelectasis of newborn
› Atelectasis of newborn NOS
P28.11Resorption atelectasis without respiratory distress syndrome
Excludes 1: resorption atelectasis with respiratory distress syndrome (P22.0)
P28.19Other atelectasis of newborn
› Partial atelectasis of newborn
› Secondary atelectasis of newborn
P28.2Cyanotic attacks of newborn
Excludes 1: apnea of newborn (P28.3- - P28.4-)
P28.3Primary sleep apnea of newborn
› Sleep apnea of newborn NOS
Excludes 2: other apnea of newborn (P28.4-)
P28.30Primary sleep apnea of newborn, unspecified
› Transient oxygen desaturation spells of newborn during sleep
P28.31Primary central sleep apnea of newborn
P28.32Primary obstructive sleep apnea of newborn
P28.33Primary mixed sleep apnea of newborn
P28.39Other primary sleep apnea of newborn
P28.4Other apnea of newborn
Excludes 2: primary sleep apnea of newborn (P28.3-)
P28.40Unspecified apnea of newborn
› Apnea of newborn, NOS
› Transient oxygen desaturation spells of newborn
P28.41Central neonatal apnea of newborn
P28.42Obstructive apnea of newborn
P28.43Mixed neonatal apnea of newborn
P28.49Other apnea of newborn
› Apnea of prematurity
P28.5Respiratory failure of newborn
Excludes 2: respiratory arrest of newborn (P28.81)
› respiratory distress of newborn (P22.0-)
P28.8Other specified respiratory conditions of newborn
P28.81Respiratory arrest of newborn
P28.89Other specified respiratory conditions of newborn
› Congenital laryngeal stridor
› Sniffles in newborn
› Snuffles in newborn
Excludes 1: early congenital syphilitic rhinitis (A50.05)
P28.9Respiratory condition of newborn, unspecified
› Respiratory depression in newborn
P29Cardiovascular disorders originating in the perinatal period
Excludes 2: congenital malformations of the circulatory system (Q20-Q28)
P29.0Neonatal cardiac failure
Code Also: associated underlying condition
P29.1Neonatal cardiac dysrhythmia
P29.11Neonatal tachycardia
P29.12Neonatal bradycardia
P29.2Neonatal hypertension
P29.3Persistent fetal circulation
P29.30Pulmonary hypertension of newborn
› Persistent pulmonary hypertension of newborn
P29.38Other persistent fetal circulation
› Delayed closure of ductus arteriosus
P29.4Transient myocardial ischemia in newborn
P29.8Other cardiovascular disorders originating in the perinatal period
P29.81Cardiac arrest of newborn
P29.89Other cardiovascular disorders originating in the perinatal period
P29.9Cardiovascular disorder originating in the perinatal period, unspecified