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ICD-10-CM Codes
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P00-P96
Certain conditions originating in the perinatal period
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P00-P04
Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
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P04-
Newborn affected by noxious substances transmitted via placenta or breast milk
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2020 ICD-10-CM Diagnosis Code P04.1
2020 ICD-10-CM Diagnosis Code P04.1
Newborn affected by other maternal medication
2016 2017 - Revised Code 2018 2019 - Converted to Parent Code 2020 Non-Billable/Non-Specific Code
- P04.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
- The 2020 edition of ICD-10-CM P04.1 became effective on October 1, 2019.
- This is the American ICD-10-CM version of P04.1 - other international versions of ICD-10 P04.1 may differ.
Code FirstCode First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
Type 1 ExcludesType 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as P04.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Type 2 ExcludesType 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 (P04.1) and the excluded code together.
The following code(s) above
P04.1 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
P04.1:
- P00-P96
2020 ICD-10-CM Range P00-P96
Certain conditions originating in the perinatal periodIncludes- 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)
- P00-P04
2020 ICD-10-CM Range P00-P04
Newborn affected by maternal factors and by complications of pregnancy, labor, and deliveryNote- 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).
- 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 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 maternal medication
Code History
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
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2017 (effective 10/1/2016): Revised code
- New description: Newborn affected by other maternal medication
- 2016 description: Newborn (suspected to be) affected by other maternal medication
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): Deleted code
- 2019 (effective 10/1/2018): New code
- 2020 (effective 10/1/2019): No change
Code annotations containing back-references to P04.1:
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Type 1 Excludes: P93
ICD-10-CM Diagnosis Code P93
Reactions and intoxications due to drugs administered to newborn
2016 2017 2018 2019 2020 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)
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Type 2 Excludes: P04.0, P04.42
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 Billable/Specific Code Code on Newborn 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- newborn affected by other maternal medication (P04.1-)
ICD-10-CM Diagnosis Code P04.42
Newborn affected by maternal use of hallucinogens
2019 - New Code 2020 Billable/Specific Code Code on Newborn Record
Type 2 Excludes- newborn affected by other maternal medication (P04.1-)
ICD-10-CM Codes Adjacent To P04.1
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
P03.819 …… 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
P04.19 Newborn affected by maternal use of unspecified medication
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
