ICD-10 Diagnosis Code P04.40

Newborn affected by maternal use of unsp drugs of addiction

Diagnosis Code P04.40

ICD-10: P04.40
Short Description: Newborn affected by maternal use of unsp drugs of addiction
Long Description: Newborn affected by maternal use of unspecified drugs of addiction
This is the 2019 version of the ICD-10-CM diagnosis code P04.40

Valid for Submission
The code P04.40 is valid for submission for HIPAA-covered transactions.

New 2019 ICD-10 Code
P04.40 is new to ICD-10 code set for the FY 2019, effective October 1, 2018. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This is a new and revised code for the FY 2019 (October 1, 2018 - September 30, 2019).

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)
Version 2019 Billable Code New Code

Information for Medical Professionals

Index to Diseases and Injuries
References found for the code P04.40 in the Index to Diseases and Injuries:


Replacement Code
This code replaces the following previously assigned ICD-10 code(s) listed below:
  • P04.49 - Newborn affected by maternal use of drugs of addiction
  • P04.49 - Newborn affected by maternal use of other drugs of addiction


ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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