Central neonatal apnea of newborn

This code identifies a condition in a newborn characterized by recurrent episodes of cessation of breathing originating from a primary neurological immaturity or dysfunction, rather than an obstructive cause. These apneic spells are typically defined by a pause in respiration lasting 20 seconds or longer, or a shorter pause associated with bradycardia, cyanosis, or pallor.

Assign this code when documentation explicitly states "central neonatal apnea" or "apnea of prematurity" without evidence of an obstructive component. This diagnosis is commonly made in premature infants due to their immature respiratory control centers. Supporting documentation should include details of apneic episodes, monitoring results, and exclusion of other causes like infection or metabolic derangements.

• Differentiate from obstructive sleep apnea (G47.30) or mixed apnea, which involves both central and obstructive components.
• Always sequence this code after the primary reason for admission or encounter if the apnea is a manifestation of another underlying condition.
• Ensure the documentation specifies "neonatal" or "newborn" to support the use of a P-code, which are reserved for conditions originating in the perinatal period.