ICD-10-CM Code P04

Newborn affected by noxious substances transmitted via placenta or breast milk

Version 2020 Non-Billable Code

Not Valid for Submission

P04 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of newborn affected by noxious substances transmitted via placenta or breast milk. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:P04
Short Description:NB aff by noxious substnc transmitd via plcnta or brst milk
Long Description:Newborn affected by noxious substances transmitted via placenta or breast milk

Consider the following ICD-10 codes with a higher level of specificity:

  • 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
  • P04.18 - Newborn affected by other maternal medication
  • P04.19 - Newborn affected by maternal use of unspecified medication
  • P04.1A - Newborn affected by maternal use of anxiolytics
  • P04.2 - Newborn affected by maternal use of tobacco
  • P04.3 - Newborn affected by maternal use of alcohol
  • P04.4 - Newborn affected by maternal use of drugs of addiction
  • 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
  • P04.5 - Newborn affected by maternal use of nutritional chemical substances
  • P04.6 - Newborn affected by maternal exposure to environmental chemical substances
  • P04.8 - Newborn affected by other maternal noxious substances
  • P04.81 - Newborn affected by maternal use of cannabis
  • P04.89 - Newborn affected by other maternal noxious substances
  • P04.9 - Newborn affected by maternal noxious substance, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code P04:

Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • nonteratogenic effects of substances transmitted via placenta

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • 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 Classification

  • Certain conditions originating in the perinatal period (P00–P96)
    • Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)
      • NB aff by noxious substnc transmitd via plcnta or brst milk (P04)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - Code Updated, effective from 10/1/2016 through 9/30/2017
    • New Description: Newborn (suspected to be) affected by noxious substances transmitted via placenta or breast milk
    • Previous Description: Newborn (suspected to be) affected by noxious substances transmitted via placenta or breast milk
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020