ICD-10-CM Code P04.49

Newborn affected by maternal use of other drugs of addiction

Version 2020 Replaced Code Billable Code

Valid for Submission

P04.49 is a billable code used to specify a medical diagnosis of newborn affected by maternal use of other drugs of addiction. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code P04.49 might also be used to specify conditions or terms like fetal exposure to drug, fetal exposure to methamphetamine, fetal or neonatal effect of narcotic transmitted via breast milk, fetal or neonatal effect of narcotic transmitted via placenta, fetal or neonatal effect of narcotic transmitted via placenta and/or breast milk, fetal or neonatal effect of placental or breast transfer of narcotics, etc

ICD-10:P04.49
Short Description:Newborn affected by maternal use of other drugs of addiction
Long Description:Newborn affected by maternal use of other drugs of addiction

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • P04.40 - Newborn affected by maternal use of unsp drugs of addiction
  • P04.42 - Newborn affected by maternal use of hallucinogens

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 P04.49:

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.
  • newborn affected by maternal anesthesia and analgesia P04.0
  • withdrawal symptoms from maternal use of drugs of addiction P96.1

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 P04.49 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Fetal exposure to drug
  • Fetal exposure to methamphetamine
  • Fetal or neonatal effect of narcotic transmitted via breast milk
  • Fetal or neonatal effect of narcotic transmitted via placenta
  • Fetal or neonatal effect of narcotic transmitted via placenta and/or breast milk
  • Fetal or neonatal effect of placental or breast transfer of narcotics

Convert P04.49 to ICD-9

  • 760.72 - Matern narc aff NB/fetus (Approximate Flag)
  • 760.73 - Matern halluc af NB/fet (Approximate Flag)

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - Code Updated, effective from 10/1/2016 through 9/30/2017
    • New Description: Newborn (suspected to be) affected by maternal use of other drugs of addiction
    • Previous Description: Newborn (suspected to be) affected by maternal use of other drugs of addiction
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Pregnancy and Drug Use

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


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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.


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