2026 ICD-10-CM Diagnosis Code P04Newborn affected by noxious substances transmitted via placenta or breast milk

ICD-10-CM Codes›P00–P96›P00-P04›P04

ICD-10-CM P04
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P04 is a non-billable ICD-10-CM category code for newborn affected by noxious substances transmitted via placenta or breast milk, so it cannot be submitted on claims. Use a more specific code from this category instead, such as P04.0, P04.11, P04.12, and P04.13.

Code Identity

ICD-10-CM Code
P04
Billable Status
No — Non-Billable Category
Code Describes
Newborn affected by noxious substances transmitted via placenta or breast milk
Chapter
P00-P04
Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
CategoryP04Newborn affected by noxious substances transmitted via placenta or breast milk
This CodeP04Newborn affected by noxious substances transmitted via placenta or breast milk

Specific Coding for NB aff by noxious substnc transmitd via plcnta or brst milkOverview

Non-specific codes like P04 require more characters. Use one of these billable codes instead:

  • Use P04.0 for Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery

  • P04.1 for Newborn affected by other maternal medication

  • Use P04.11 for Newborn affected by maternal antineoplastic chemotherapy

  • Use P04.12 for Newborn affected by maternal cytotoxic drugs

  • Use P04.13 for Newborn affected by maternal use of anticonvulsants

  • Use P04.14 for Newborn affected by maternal use of opiates

  • Use P04.15 for Newborn affected by maternal use of antidepressants

  • Use P04.16 for Newborn affected by maternal use of amphetamines

  • Use P04.17 for Newborn affected by maternal use of sedative-hypnotics

  • Use P04.18 for Newborn affected by other maternal medication

  • Use P04.19 for Newborn affected by maternal use of unspecified medication

  • Use P04.1A for Newborn affected by maternal use of anxiolytics

  • Use P04.2 for Newborn affected by maternal use of tobacco

  • Use P04.3 for Newborn affected by maternal use of alcohol

  • P04.4 for Newborn affected by maternal use of drugs of addiction

  • Use P04.40 for Newborn affected by maternal use of unspecified drugs of addiction

  • Use P04.41 for Newborn affected by maternal use of cocaine

  • Use P04.42 for Newborn affected by maternal use of hallucinogens

  • Use P04.49 for Newborn affected by maternal use of other drugs of addiction

  • Use P04.5 for Newborn affected by maternal use of nutritional chemical substances

  • Use P04.6 for Newborn affected by maternal exposure to environmental chemical substances

  • P04.8 for Newborn affected by other maternal noxious substances

  • Use P04.81 for Newborn affected by maternal use of cannabis

  • Use P04.89 for Newborn affected by other maternal noxious substances

  • Use P04.9 for Newborn affected by maternal noxious substance, unspecified

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Includes

  • nonteratogenic effects of substances transmitted via placenta

Code First

  • any current condition in newborn, if applicable

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

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P04Overview

Is P04 a billable code?

No. This is a category header that groups the codes for newborn affected by noxious substances transmitted via placenta or breast milk, and headers cannot be submitted on claims. Claims for newborn affected by noxious substances transmitted via placenta or breast milk need a more specific code from this category, such as P04.0, P04.11, and P04.12.