J98 vs P28.3
J98 (Other respiratory disorders) compared with P28.3 (Primary sleep apnea of newborn), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. J98 carries an Excludes1 note covering P28.3: “newborn sleep apnea (P28.3-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| J98Other respiratory disorders | P28.3Primary sleep apnea of newborn | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Other respiratory disorders is a non-billable ICD-10-CM category code (J98). | Primary sleep apnea of newborn is a non-billable ICD-10-CM category code (P28.3). |
| Includes | — | Sleep apnea of newborn NOS |
| Use additional code | code to identify: exposure to environmental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources