Valid for Submission
P04.3 is a billable diagnosis code used to specify a medical diagnosis of newborn affected by maternal use of alcohol. The code P04.3 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code P04.3 might also be used to specify conditions or terms like fetal or neonatal effect of alcohol transmitted via placenta and/or breast milk, fetal or neonatal effect of maternal alcohol addiction, fetal or neonatal effect of maternal use of alcohol, fetal or neonatal effect of placental or breast transfer of alcohol or neonatal effect of alcohol transmitted via breast milk.
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 P04.3:
Type 1 ExcludesType 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.
- fetal alcohol syndrome Q86.0
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code P04.3 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Fetal or neonatal effect of alcohol transmitted via placenta and/or breast milk
- Fetal or neonatal effect of maternal alcohol addiction
- Fetal or neonatal effect of maternal use of alcohol
- Fetal or neonatal effect of placental or breast transfer of alcohol
- Neonatal effect of alcohol transmitted via breast milk
Convert P04.3 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code P04.3 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Fetal Alcohol Spectrum Disorders
Also called: FASD
Alcohol can harm your baby at any stage during a pregnancy. That includes the earliest stages, before you even know you are pregnant. Drinking during pregnancy can cause a group of conditions called fetal alcohol spectrum disorders (FASDs). Children who are born with FASD can have a mix of problems, such as medical, behavioral, educational, and social problems. The kinds of problems they have depend on which type of FASD they have. The problems could include
- Abnormal facial features, such as a smooth ridge between the nose and upper lip
- Small head size
- Shorter-than-average height
- Low body weight
- Poor coordination
- Hyperactive behavior
- Difficulty with attention and memory
- Learning disabilities and difficulty in school
- Speech and language delays
- Intellectual disability or low IQ
- Poor reasoning and judgment skills
- Sleep and sucking problems as a baby
- Vision or hearing problems
- Problems with the heart, kidneys, or bones
Fetal alcohol syndrome (FAS) is the most serious type of FASD. People with fetal alcohol syndrome have facial abnormalities, including wide-set and narrow eyes, growth problems and nervous system abnormalities.
Diagnosing FASD can be hard because there is no medical test for it. The health care provider will make a diagnosis by looking at the child's signs and symptoms, and will ask whether the mother drank alcohol during pregnancy.
FASDs last a lifetime. There is no cure for FASDs, but treatments can help. These include medicines to help with some symptoms, medical care for health problems, behavior and education therapy, and parent training. A good treatment plan is specific to the child's problems. It should include close monitoring, follow-ups, and changes when needed.
Certain "protective factors" can help reduce the effects of FASDs and help people who have them reach their full potential. They include
- Diagnosis before 6 years of age
- Loving, nurturing, and stable home environment during the school years
- Absence of violence around them
- Involvement in special education and social services
There is no known safe amount of alcohol during pregnancy. To prevent FASDs, you should not drink alcohol while you are pregnant, or when you might get pregnant.
Centers for Disease Control and Prevention
- Fetal alcohol syndrome (Medical Encyclopedia)