P28.19 ICD-10-CM Code: Other atelectasis of newborn
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 2 inclusion terms · 1 code-also instruction
- Risk adjustment
- CMS-HCC V28: 1 category
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 794 — NEONATE WITH OTHER SIGNIFICANT PROBLEMS (MDC 15)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 213 — Cardio-Respiratory Failure and Shock
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for P28.19 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on P28.19 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Partial atelectasis of newborn
- Secondary atelectasis of newborn
Code Also
Additional codes that may be required to fully describe the encounter.
- Code also, if applicable, congenital malformations of the respiratory system (Q30-Q34)
Source: inherited from P28
Coder workflow for P28.19
MedCoder structured workflow — derived from this code’s own official record
Before you code P28.19
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on P28.19; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
ReviewP28.11
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Code Also — related condition(1 note)
Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.
See the official tabular notes · Guidelines I.A.17
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (2)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Verify Before Coding
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 78 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 1 MS-DRG: DRG 794 (MDC 15).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):PNL006 — Respiratory perinatal condition (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
P26.1 — Massive pulmonary hemorrhage originating in the perinatal period, P26.8 — Other pulmonary hemorrhages originating in the perinatal period, P26.9 — Unspecified pulmonary hemorrhage originating in the perinatal period, P27.0 — Wilson-Mikity syndrome, P27.1 — Bronchopulmonary dysplasia originating in the perinatal period, P27.8 — Other chronic respiratory diseases originating in the perinatal period, P27.9 — Unspecified chronic respiratory disease originating in the perinatal period, P28.0 — Primary atelectasis of newborn, P28.10 — Unspecified atelectasis of newborn, P28.11 — Resorption atelectasis without respiratory distress syndrome, P28.2 — Cyanotic attacks of newborn, P28.30 — Primary sleep apnea of newborn, unspecified, P28.31 — Primary central sleep apnea of newborn, P28.32 — Primary obstructive sleep apnea of newborn, P28.33 — Primary mixed sleep apnea of newborn, P28.39 — Other primary sleep apnea of newborn, P28.40 — Unspecified apnea of newborn, P28.41 — Central neonatal apnea of newborn, P28.42 — Obstructive apnea of newborn, P28.43 — Mixed neonatal apnea of newborn, +57 more
Same CMS-HCC risk category (V28)
CMS maps these diagnoses to the same Hierarchical Condition Category (Cardio-Respiratory Failure and Shock) for risk-adjusted payment.
J96.22 — Acute and chronic respiratory failure with hypercapnia, J96.90 — Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia, J96.91 — Respiratory failure, unspecified with hypoxia, J96.92 — Respiratory failure, unspecified with hypercapnia, P22.0 — Respiratory distress syndrome of newborn, P26.0 — Tracheobronchial hemorrhage originating in the perinatal period, P26.1 — Massive pulmonary hemorrhage originating in the perinatal period, P26.8 — Other pulmonary hemorrhages originating in the perinatal period, P26.9 — Unspecified pulmonary hemorrhage originating in the perinatal period, P27.0 — Wilson-Mikity syndrome, P27.1 — Bronchopulmonary dysplasia originating in the perinatal period, P27.8 — Other chronic respiratory diseases originating in the perinatal period, P27.9 — Unspecified chronic respiratory disease originating in the perinatal period, P28.0 — Primary atelectasis of newborn, P28.10 — Unspecified atelectasis of newborn, P28.11 — Resorption atelectasis without respiratory distress syndrome, P28.5 — Respiratory failure of newborn, P29.81 — Cardiac arrest of newborn, R57.0 — Cardiogenic shock, R57.9 — Shock, unspecified, +15 more
Related risk categories
These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.
Respirator Dependence/Tracheostomy Status/Complications, Respiratory Arrest
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Respiratory perinatal condition).
P26.1 — Massive pulmonary hemorrhage originating in the perinatal period, P26.8 — Other pulmonary hemorrhages originating in the perinatal period, P26.9 — Unspecified pulmonary hemorrhage originating in the perinatal period, P27.0 — Wilson-Mikity syndrome, P27.1 — Bronchopulmonary dysplasia originating in the perinatal period, P27.8 — Other chronic respiratory diseases originating in the perinatal period, P27.9 — Unspecified chronic respiratory disease originating in the perinatal period, P28.0 — Primary atelectasis of newborn, P28.10 — Unspecified atelectasis of newborn, P28.11 — Resorption atelectasis without respiratory distress syndrome, P28.2 — Cyanotic attacks of newborn, P28.3 — Primary sleep apnea of newborn, P28.30 — Primary sleep apnea of newborn, unspecified, P28.31 — Primary central sleep apnea of newborn, P28.32 — Primary obstructive sleep apnea of newborn, P28.33 — Primary mixed sleep apnea of newborn, P28.39 — Other primary sleep apnea of newborn, P28.4 — Other apnea of newborn, P28.40 — Unspecified apnea of newborn, P28.41 — Central neonatal apnea of newborn, +33 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Atelectasis”; these codes share that main term but sit in a different category of the Tabular List.
Contextual Map
Every relationship of P28.19 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- P00-P96 — Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96) (P00-P96)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Clinical classification (CCSR)
- PNL006 — Respiratory perinatal condition[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Risk adjustment (CMS-HCC)
- HCC 213 — Cardio-Respiratory Failure and Shock [CMS-HCC]— CMS-HCC V28 · 2026
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 794 — NEONATE WITH OTHER SIGNIFICANT PROBLEMS[MS-DRG]: “NEONATE WITH OTHER SIGNIFICANT PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Atelectasis (massive) (partial) (pressure) (pulmonary), newborn, partial[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Atelectasis (massive) (partial) (pressure) (pulmonary), newborn, secondary[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (23)
- P28 — Other respiratory conditions originating in the perinatal period[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P28.0 — Primary atelectasis of newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P28.1 — Other and unspecified atelectasis of newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P28.10 — Unspecified atelectasis of newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P28.11 — Resorption atelectasis without respiratory distress syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P28.2 — Cyanotic attacks of newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P28.3 — Primary sleep apnea of newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P28.30 — Primary sleep apnea of newborn, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 15 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Risk adjustment Official source data
- 2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "P28.19 — Other atelectasis of newborn." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/p28.19-other-atelectasis-of-newborn
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionOther atelectasis of newborn
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to P28.19 in its code family, with their registry titles.
- P28 — Other respiratory conditions originating in the perinatal period
- P28.0 — Primary atelectasis of newborn
- P28.1 — Other and unspecified atelectasis of newborn
- P28.10 — Unspecified atelectasis of newborn
- P28.11 — Resorption atelectasis without respiratory distress syndrome
- P28.2 — Cyanotic attacks of newborn
- P28.3 — Primary sleep apnea of newborn
- P28.30 — Primary sleep apnea of newborn, unspecified
- P28.31 — Primary central sleep apnea of newborn
- P28.32 — Primary obstructive sleep apnea of newborn