Valid for Submission
P04.41 is a billable diagnosis code used to specify a medical diagnosis of newborn affected by maternal use of cocaine. The code P04.41 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
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 P04.41 are found in the index:
- - Absorption
- - Crack baby - P04.41
Convert P04.41 to ICD-9 Code
Information for Patients
Also called: Blow, C, Coca, Coke, Crack, Flake, Snow
Cocaine is a white powder. It can be snorted up the nose or mixed with water and injected with a needle. Cocaine can also be made into small white rocks, called crack. Crack is smoked in a small glass pipe.
Cocaine speeds up your whole body. You may feel full of energy, happy, and excited. But then your mood can change. You can become angry, nervous, and afraid that someone's out to get you. You might do things that make no sense. After the "high" of the cocaine wears off, you can "crash" and feel tired and sad for days. You also get a strong craving to take the drug again to try to feel better.
No matter how cocaine is taken, it is dangerous. Some of the most common serious problems include heart attack and stroke. You are also at risk for HIV/AIDS and hepatitis, from sharing needles or having unsafe sex. Cocaine is more dangerous when combined with other drugs or alcohol.
It is easy to lose control over cocaine use and become addicted. Then, even if you get treatment, it can be hard to stay off the drug. People who stopped using cocaine can still feel strong cravings for the drug, sometimes even years later.
NIH: National Institute on Drug Abuse
- Cocaine withdrawal (Medical Encyclopedia)
- Substance use -- cocaine (Medical Encyclopedia)
- Tips for Teens: The Truth about Cocaine (Substance Abuse and Mental Health Services Administration)
Pregnancy and Substance Abuse
When you are pregnant, you are not just "eating for two." You also breathe and drink for two. If you smoke, use alcohol or take illegal drugs, so does your unborn baby.
To protect your baby, you should avoid
- Tobacco. Smoking during pregnancy passes nicotine, carbon monoxide, and other harmful chemicals to your baby. This could cause many problems for your unborn baby's development. It raises the risk of your baby being born too small, too early, or with birth defects. Smoking can also affect babies after they are born. Your baby would be more likely to develop diseases such as asthma and obesity. There is also a higher risk of dying from sudden infant death syndrome (SIDS).
- Drinking alcohol. There is no known amount of alcohol that is safe for a woman to drink during pregnancy. If you drink alcohol when you are pregnant, your child could be born with lifelong fetal alcohol syndrome disorders (FASD). Children with FASD can have a mix of physical, behavioral, and learning problems.
- Illegal drugs. Using illegal drugs such as cocaine and methamphetamines may cause underweight babies, birth defects, or withdrawal symptoms after birth.
- Misusing prescription drugs. If you are taking prescription medicines, carefully follow your health care provider's instructions. It can be dangerous to take more medicines than you are supposed to, use them to get high, or take someone else's medicines. For example, misusing opioids can cause birth defects, withdrawal in the baby, or even loss of the baby.
If you are pregnant and you are doing any of these things, get help. Your healthcare provider can recommend programs to help you quit. You and your baby's health depend on it.
Dept. of Health and Human Services Office on Women's Health
- Alcohol and pregnancy (Medical Encyclopedia)
- Neonatal abstinence syndrome (Medical Encyclopedia)
- Smoking and Pregnancy (Centers for Disease Control and Prevention)
Uncommon Infant and Newborn Problems
It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.
Learning information about your baby's condition can help ease your worry. Do not be afraid to ask questions about your baby's care. By working together with your health care provider, you make sure that your baby gets the best care possible.
- Brief resolved unexplained event -- BRUE (Medical Encyclopedia)
- Crying - excessive (0-6 months) (Medical Encyclopedia)
- Failure to thrive (Medical Encyclopedia)
- Hemorrhagic disease of the newborn (Medical Encyclopedia)
- Hyperglycemia - infants (Medical Encyclopedia)
- Neonatal respiratory distress syndrome (Medical Encyclopedia)
- Neonatal sepsis (Medical Encyclopedia)
- Neutropenia - infants (Medical Encyclopedia)