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P22 vs T71.9XXD

P22 (Respiratory distress of newborn) compared with T71.9XXD (Asphyxiation due to unspecified cause, subsequent encounter), 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. T71.9XXD carries an Excludes1 note covering P22: “respiratory distress (syndrome) in newborn (P22.-)”

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

P22Respiratory distress of newbornT71.9XXDAsphyxiation due to unspecified cause, subsequent encounter
Billing statusNon-billable header

Report instead: P22.0, P22.1, P22.8, P22.9

Billable
ClassificationP00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionRespiratory distress of newborn is a non-billable ICD-10-CM category code (P22).Asphyxiation due to unspecified cause, subsequent encounter is a billable ICD-10-CM diagnosis code (T71.9D).
7th characterThe appropriate 7th character is to be added to each code from category T71
Includes
Suffocation (by strangulation) due to unspecified cause
Suffocation NOS
Systemic oxygen deficiency due to low oxygen content in ambient air due to unspecified cause
Systemic oxygen deficiency due to mechanical threat to breathing due to unspecified cause

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources