ICD-10-CM Code P04.1

Newborn affected by other maternal medication

Version 2020 Replaced Code Non-Billable Code

Not Valid for Submission

P04.1 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 other maternal medication. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:P04.1
Short Description:Newborn affected by other maternal medication
Long Description:Newborn affected by other maternal medication

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

  • 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

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • 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

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 P04.1:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the 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.
  • withdrawal symptoms from maternal use of drugs of addiction, if applicable P96.1

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dysmorphism due to warfarin Q86.2
  • fetal hydantoin syndrome Q86.1

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.
  • maternal anesthesia and analgesia in pregnancy, labor and delivery P04.0
  • maternal use of drugs of addiction P04.4

Convert P04.1 to ICD-9

  • 760.74 - Mat anti-inf aff NB/fet (Approximate Flag)
  • 760.78 - Mat antimetabol aff NB (Approximate Flag)

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 other maternal medication
    • Previous Description: Newborn (suspected to be) affected by other maternal medication
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - Code Deleted, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020