2024 ICD-10-CM Diagnosis Code P04.42
Newborn affected by maternal use of hallucinogens
- ICD-10-CM Code:
- P04.42
- ICD-10 Code for:
- Newborn affected by maternal use of hallucinogens
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
P04.42 is a billable diagnosis code used to specify a medical diagnosis of newborn affected by maternal use of hallucinogens. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
Clinical Classification
Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
---|---|---|---|
Neonatal abstinence syndrome | PNL014 | Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis. | Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis. |
Newborn affected by maternal conditions or complications of labor/delivery | PNL010 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
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.
Type 2 Excludes
Type 2 ExcludesA 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.
- newborn affected by other maternal medication P04.1
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Absorption
- - drug NEC - See: Table of Drugs and Chemicals;
- - addictive
- - through placenta (newborn) - See Also: Newborn, affected by, maternal, use of; - P04.40
- - hallucinogens - P04.42
- - through placenta (newborn) - See Also: Newborn, affected by, maternal, use of; - P04.40
- - addictive
- - drug NEC - See: Table of Drugs and Chemicals;
- - Newborn (infant) (liveborn) (singleton) - Z38.2
- - affected by
- - drugs of addiction - P04.40
- - hallucinogens - P04.42
- - drugs of addiction - P04.40
- - affected by
Replacement Code
P0442 replaces the following previously assigned ICD-10-CM code(s):
- P04.49 - Newborn affected by maternal use of drugs of addiction
- P04.49 - Newborn affected by maternal use of other drugs of addiction
Patient Education
Club Drugs
What are club drugs?
Club drugs are group of psychoactive drugs. They act on the central nervous system and can cause changes in mood, awareness, and behavior. These drugs are most often used by young adults at bars, concerts, nightclubs, and parties. Club drugs, like most drugs, have nicknames that change over time or are different in different areas of the country.
What are the different types of club drugs?
The most commonly used types of club drugs include:
- MDMA (Methylenedioxymethamphetamine), also called Ecstasy and Molly
- GHB (Gamma-hydroxybutyrate), also known as G and Liquid Ecstasy
- Ketamine, also known as Special K and K
- Rohypnol, also known as Roofies
- Methamphetamine, also known as Speed, Ice, and, Meth
- LSD (Lysergic Acid Diethylamide), also known as Acid
Some of these drugs are approved for certain medical uses. Other uses of these drugs are misuse.
What are date rape drugs?
Date rape drugs are any type of drug or alcohol used to make sexual assault easier. Someone could put one in your drink when you are not looking. Or you may be drinking alcohol or taking a drug, and a person may make it stronger without you knowing.
Club drugs are also sometimes used as "date rape" drugs. These drugs are very powerful. They can affect you very quickly, and you might not know that something is wrong. The length of time that the effects last varies. It depends on how much of the drug is in your body and if the drug is mixed with other drugs or alcohol. Alcohol can make the effects of drugs even stronger and can cause serious health problems - even death.
Are there steps I can take to protect myself from date rape drugs?
To try to avoid date rape drugs,:
- Never leave your drink unattended
- Don't accept drinks from other people
- If drinking from a can or bottle, open your drink yourself
- Look out for your friends, and ask them to look out for you
[Learn More in MedlinePlus]
Pregnancy and Substance Use
During pregnancy, there are many things you can do to keep yourself and your baby healthy. They include getting regular prenatal care, eating healthy, and staying active. But it's also very important to avoid substances that could be harmful to you and your baby, such as tobacco, alcohol, and drugs.
Tobacco
Smoking during pregnancy passes nicotine, carbon monoxide, and many other harmful chemicals to your baby. Nicotine is not only a health danger for you, but it can also damage your developing baby's brain and lungs. Carbon monoxide can keep the developing baby from getting enough oxygen.
If you smoke while pregnant, it raises the risk of your baby being born too small, too early, or with birth defects. During the first year of life, there is a higher risk of your baby dying from sudden infant death syndrome (SIDS). And later in life, your child may be more likely to have health problems, such as asthma and obesity.
Other tobacco products, including e-cigarettes, also contain nicotine and are not safe to use during pregnancy. And some of the flavorings used in e-cigarettes may be harmful to developing babies.
You will also want to try to avoid secondhand smoke, which has some of the same risks as smoking during pregnancy.
Alcohol
There is no known amount of alcohol that is safe for you to drink during pregnancy and while trying to get pregnant. All types of alcohol are equally harmful, including all wines and beer. The risks from drinking during pregnancy include problems with the growth of the developing baby and fetal alcohol spectrum disorders (FASD). FASD is a life-long condition that can cause a mix of physical, behavioral, and learning problems.
Illegal drugs
Using illegal drugs, such as cocaine, methamphetamines, and club drugs, during pregnancy can cause problems for both you and your baby. They may cause low birth weight babies, birth defects, or miscarriage. Your child may be more likely to have learning and developmental disabilities. And if you are injecting the drugs, that puts you at risk for HIV. HIV can be passed along to your baby during pregnancy.
Prescription drug misuse
Misusing prescription drugs can also be harmful. Misuse can include taking more than your prescribed dose or taking it more often, using it to get high, or taking someone else's medicines. The possible effects of misusing a medicine during pregnancy will depend on which medicine you are misusing.
Opioids
One type of drug that is a concern during pregnancy is opioids. Opioids include strong prescription pain relievers such as oxycodone, hydrocodone, fentanyl, and tramadol. The illegal drug heroin is also an opioid. Taking opioids during pregnancy can cause problems for you and your baby. The risks include birth defects, preterm birth, the loss of the baby, and neonatal abstinence syndrome (NAS). NAS causes withdrawal symptoms in newborn babies.
If you have pain and your health care provider suggests that you take prescription opioids during pregnancy, first discuss the risks and benefits with the provider. Then if you both decide that you need to take the opioids, you can work together to try to minimize the risks.
Cannabis (marijuana)
Cannabis (marijuana) is another drug that could be harmful to your baby. Some research shows that using cannabis during pregnancy is linked to developmental problems in children and teens. More research is needed, but the safest thing to do is stop using it if you are pregnant. The U.S. Centers for Disease Control and Prevention (CDC) advises that people should not use cannabis while they are pregnant.Getting help
If you are pregnant and using any of these substances, contact your provider. Together you and your provider can find the right treatment to help you quit.If you are taking opioids or are addicted to drugs, don't stop taking them suddenly. That can be dangerous to you and the baby. Instead, contact your provider for help with getting off the drugs safely.
[Learn More in MedlinePlus]
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.
[Learn More in MedlinePlus]
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
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.