AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 2; Ask the Editor
Poor/Insufficient Respiratory Effort of Newborn
A newborn, delivered via vacuum assisted delivery with nuchal cord compression x 1, was noted to have poor respiratory effort that required a brief level of positive pressure ventilation (PPV), continuous positive airway pressure (CPAP) and blow-by-blow oxygen. The newborn subsequently had improved tone, saturations, and respiratory effort and remained stable on room air without evidence of worsening of breathing, tachypnea or distress. In ICD-10-CM, Respiration, insufficient or poor, newborn, references code P28.5, Respiratory failure of newborn. However, in this case, the documentation does not support a diagnosis of respiratory failure. What is the appropriate ICD-10-CM code for insufficient or poor respiratory effort of newborn without provider documentation of respiratory failure? ...
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