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  6. 2024 ICD-10-CM Code P04.1

2024 ICD-10-CM Diagnosis Code P04.1

Newborn affected by other maternal medication

ICD-10-CM Code:
P04.1
ICD-10 Code for:
Newborn affected by other maternal medication
Is Billable?
Not Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

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)
      • Newborn affected by noxious substances transmitted via placenta or breast milk
        (P04)

P04.1 is a non-specific and non-billable diagnosis 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 specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Newborn affected by other maternal medication

Non-specific codes like P04.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for newborn affected by other maternal medication:

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

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

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

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

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

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

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

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

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

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

Clinical Classification

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


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.
  • , if applicable, withdrawal symptoms from maternal use of drugs of addiction P96.1
  • withdrawal symptoms from therapeutic use of drugs in newborn P96.2

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-CM

  • ICD-9-CM Code: 760.74 - Mat anti-inf aff NB/fet
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: 760.78 - Mat antimetabol aff NB
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.