AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask the Editor

Respiratory Distress Syndrome and Respiratory Failure of Newborn

A newborn delivered at 32 weeks gestation was admitted for prematurity, respiratory distress syndrome and respiratory failure requiring CPAP. The Excludes1 note at category P22, Respiratory distress of newborn, and code P28.5, Respiratory failure of newborn, prohibit reporting both codes together. However, these conditions do not seem to be inclusive of one another. How should respiratory distress syndrome (RDS) and respiratory failure in a newborn be coded? ...

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