Cyanotic attacks of newborn

This code signifies episodes of transient cyanosis in a newborn, characterized by a bluish discoloration of the skin and mucous membranes due to insufficient oxygenation. These attacks are typically paroxysmal and may be associated with breath-holding spells or other benign causes, distinct from persistent or severe respiratory distress.

Assign this code when documentation specifies recurrent, self-limiting cyanotic episodes in a neonate, without evidence of underlying cardiac, pulmonary, or neurological pathology explaining the cyanosis. This code is appropriate when the attacks are not attributed to apnea. Documentation should clearly distinguish these transient events from more serious conditions.

• Do not code concurrently with codes for apnea of newborn (P28.3- - P28.4-).
• Ensure documentation rules out underlying cardiac or respiratory conditions that would be coded separately.
• Consider sequencing this code after any underlying condition if one is identified as contributing to the attacks.