P22.0 vs P28.5
P22.0 (Respiratory distress syndrome of newborn) compared with P28.5 (Respiratory failure of newborn), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. P22.0 carries an Excludes2 note covering P28.5: “respiratory failure of newborn NOS (P28.5)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. P28.5 carries an Excludes2 note covering P22.0: “respiratory distress of newborn (P22.0)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| P22.0Respiratory distress syndrome of newborn | P28.5Respiratory failure of newborn | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Respiratory distress syndrome of newborn is a billable ICD-10-CM diagnosis code (P22.0). | Respiratory failure of newborn is a billable ICD-10-CM diagnosis code (P28.5). |
| Includes | Cardiorespiratory distress syndrome of newborn Hyaline membrane disease Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn Pulmonary hypoperfusion syndrome | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources