Newborn affected by maternal use of drugs of addiction

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 4 more specific codes instead:

P04.40 Newborn affected by maternal use of unspecified drugs of addiction
P04.41 Newborn affected by maternal use of cocaine
P04.42 Newborn affected by maternal use of hallucinogens
P04.49 Newborn affected by maternal use of other drugs of addiction

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Newborn (suspected to be) affected by maternal use of drugs of addiction
FY2017 Description revised ~~Newborn (suspected to be) affected by maternal use of drugs of addiction~~ Newborn affected by maternal use of drugs of addiction
FY2019 Description revised ~~Newborn affected by maternal use of drugs of addiction~~ Newborn affected by maternal use of drugs of addiction

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from P04 Newborn affected by noxious substances transmitted via placenta or breast milk

Excludes2 - not included here

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.-)

Code first

any current condition in newborn, if applicable

Includes

nonteratogenic effects of substances transmitted via placenta

Inherited from the P00-P04 section Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)

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).

Codes in the same group

Code	Description	Status
P04.0	Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery	Valid
P04.1	Newborn affected by other maternal medication	Not billable
P04.2	Newborn affected by maternal use of tobacco	Valid
P04.3	Newborn affected by maternal use of alcohol	Valid
P04.5	Newborn affected by maternal use of nutritional chemical substances	Valid
P04.6	Newborn affected by maternal exposure to environmental chemical substances	Valid
P04.8	Newborn affected by other maternal noxious substances	Not billable
P04.9	Newborn affected by maternal noxious substance, unspecified	Valid