All ICD10 Codes

P04

Non-Billable
ChapterP00–P96
Rankcategory
Official Description

Newborn affected by noxious substances transmitted via placenta or breast milk

Use a more specific code (6 billable, 3 non-billable)
P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryP04.1Newborn affected by other maternal medicationhas subcodesP04.2Newborn affected by maternal use of tobaccoP04.3Newborn affected by maternal use of alcoholP04.4Newborn affected by maternal use of drugs of addictionhas subcodesP04.5Newborn affected by maternal use of nutritional chemical substancesP04.6Newborn affected by maternal exposure to environmental chemical substancesP04.8Newborn affected by other maternal noxious substanceshas subcodesP04.9Newborn affected by maternal noxious substance, unspecified
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96).

CH16 Parent Instructions

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
Excludes2(Not included here. Code separately if applicable.)
  • 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)

Instructional Notes

Includes
  • nonteratogenic effects of substances transmitted via placenta
Excludes2(Not included here. Code separately if applicable.)
  • 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

Clinical Hierarchy

BillableHas subcodes
CH16Certain conditions originating in the perinatal period (P00-P96)
P00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)
P04Newborn affected by noxious substances transmitted via placenta or breast milkNot billable
P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryBillable
P04.1Newborn affected by other maternal medicationSubcodes
P04.2Newborn affected by maternal use of tobaccoBillable
P04.3Newborn affected by maternal use of alcoholBillable
P04.4Newborn affected by maternal use of drugs of addictionSubcodes
P04.5Newborn affected by maternal use of nutritional chemical substancesBillable
P04.6Newborn affected by maternal exposure to environmental chemical substancesBillable
P04.8Newborn affected by other maternal noxious substancesSubcodes
P04.9Newborn affected by maternal noxious substance, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to P04:

chapterCH16
Certain conditions originating in the perinatal period (P00-P96)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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