2021 ICD-10-CM Diagnosis Code P04.0

Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery

    2016 2017 - Revised Code 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
  • P04.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: NB aff by matern anesth and analgesia in preg, labor and del
  • The 2021 edition of ICD-10-CM P04.0 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of P04.0 - other international versions of ICD-10 P04.0 may differ.
ICD-10-CM Coding Rules
  • P04.0 should be used on the newborn record - not on the maternal record.
Applicable To
  • Newborn affected by reactions and intoxications from maternal opiates and tranquilizers administered for procedures during pregnancy or labor and delivery
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (P04.0) and the excluded code together.
  • newborn affected by other maternal medication (
    ICD-10-CM Diagnosis Code P04.1

    Newborn affected by other maternal medication

      2016 2017 - Revised Code 2018 2019 - Converted to Parent Code 2020 2021 Non-Billable/Non-Specific Code
    Code First
    • withdrawal symptoms from maternal use of drugs of addiction, if applicable (P96.1)
    Type 1 Excludes
    • dysmorphism due to warfarin (Q86.2)
    • fetal hydantoin syndrome (Q86.1)
    Type 2 Excludes
    • maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)
    • maternal use of drugs of addiction (P04.4-)
    P04.1-
    )
The following code(s) above P04.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P04.0:
  • P00-P96
    2021 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    Includes
    • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • tetanus neonatorum (A33)
    Certain conditions originating in the perinatal period
  • P00-P04
    2021 ICD-10-CM Range P00-P04

    Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery

    Note
    • These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
    Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
  • P04
    ICD-10-CM Diagnosis Code P04

    Newborn affected by noxious substances transmitted via placenta or breast milk

      2016 2017 - Revised Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Includes
    • nonteratogenic effects of substances transmitted via placenta
    Type 2 Excludes
    • congenital malformations (Q00-Q99)
    • encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
    • neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)
    • newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)
    Newborn affected by noxious substances transmitted via placenta or breast milk
Approximate Synonyms
  • Newborn affected by maternal anesthesia
ICD-10-CM P04.0 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 794 Neonate with other significant problems

Convert P04.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): Revised code
    • New description: Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
    • 2016 description: Newborn (suspected to be) affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to P04.0:
  • Type 1 Excludes: P93
    , P96.1
    ICD-10-CM Diagnosis Code P93

    Reactions and intoxications due to drugs administered to newborn

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Includes
    • reactions and intoxications due to drugs administered to fetus affecting newborn
    Type 1 Excludes
    • jaundice due to drugs or toxins transmitted from mother or given to newborn (P58.4-)
    • reactions and intoxications from maternal opiates, tranquilizers and other medication (P04.0-P04.1, P04.4-)
    • withdrawal symptoms from maternal use of drugs of addiction (P96.1)
    • withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)
    ICD-10-CM Diagnosis Code P96.1

    Neonatal withdrawal symptoms from maternal use of drugs of addiction

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Drug withdrawal syndrome in infant of dependent mother
    • Neonatal abstinence syndrome
    Type 1 Excludes
    • reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)
  • Type 2 Excludes: P04.1
    , P04.49
    ICD-10-CM Diagnosis Code P04.1

    Newborn affected by other maternal medication

      2016 2017 - Revised Code 2018 2019 - Converted to Parent Code 2020 2021 Non-Billable/Non-Specific Code
    Code First
    • withdrawal symptoms from maternal use of drugs of addiction, if applicable (P96.1)
    Type 1 Excludes
    • dysmorphism due to warfarin (Q86.2)
    • fetal hydantoin syndrome (Q86.1)
    Type 2 Excludes
    • maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)
    • maternal use of drugs of addiction (P04.4-)
    ICD-10-CM Diagnosis Code P04.49

    Newborn affected by maternal use of other drugs of addiction

      2016 2017 - Revised Code 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
    Type 2 Excludes
    • newborn affected by maternal anesthesia and analgesia (P04.0)
    • withdrawal symptoms from maternal use of drugs of addiction (P96.1)

Diagnosis Index entries containing back-references to P04.0:
  • Absorption
    • chemical - see Table of Drugs and Chemicals
      • through placenta (newborn) P04.9
        ICD-10-CM Diagnosis Code P04.9

        Newborn affected by maternal noxious substance, unspecified

          2016 2017 - Revised Code 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
        • obstetric anesthetic or analgesic drug P04.0
    • drug NEC - see Table of Drugs and Chemicals
      • through placenta (newborn) P04.19
        ICD-10-CM Diagnosis Code P04.19

        Newborn affected by maternal use of unspecified medication

          2019 - New Code 2020 2021 Billable/Specific Code Code on Newborn Record
        • obstetric anesthetic or analgesic drug P04.0
  • Newborn (infant) (liveborn) (singleton) Z38.2
    ICD-10-CM Diagnosis Code Z38.2

    Single liveborn infant, unspecified as to place of birth

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
    Applicable To
    • Single liveborn infant NOS
    • affected by
      • maternal (complication of) (use of)
        • opiates P04.14
          ICD-10-CM Diagnosis Code P04.14

          Newborn affected by maternal use of opiates

            2019 - New Code 2020 2021 Billable/Specific Code Code on Newborn Record
          • administered for procedures during pregnancy or labor and delivery P04.0
        • analgesia P04.0 (maternal)
        • anesthesia P04.0 (maternal)
        • tranquilizers administered for procedures during pregnancy or labor and delivery P04.0

ICD-10-CM Codes Adjacent To P04.0
P03.6 Newborn affected by abnormal uterine contractions
P03.8 Newborn affected by other specified complications of labor and delivery
P03.81 Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm
P03.810 …… before the onset of labor
P03.811 …… during labor
P03.819 …… unspecified as to time of onset
P03.82 Meconium passage during delivery
P03.89 Newborn affected by other specified complications of labor and delivery
P03.9 Newborn affected by complication of labor and delivery, unspecified
P04 Newborn affected by noxious substances transmitted via placenta or breast milk
P04.0 Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
P04.1 Newborn affected by other maternal medication
P04.11 Newborn affected by maternal antineoplastic chemotherapy
P04.12 Newborn affected by maternal cytotoxic drugs
P04.13 Newborn affected by maternal use of anticonvulsants
P04.14 Newborn affected by maternal use of opiates
P04.15 Newborn affected by maternal use of antidepressants
P04.16 Newborn affected by maternal use of amphetamines
P04.17 Newborn affected by maternal use of sedative-hypnotics
P04.1A Newborn affected by maternal use of anxiolytics
P04.18 Newborn affected by other maternal medication

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.