2026 ICD-10-CM Diagnosis Code P04.41Newborn affected by maternal use of cocaine

ICD-10-CM Codes›P00–P96›P00-P04›P04

ICD-10-CM P04.41
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P04.41 is a billable ICD-10-CM diagnosis code for newborn affected by maternal use of cocaine. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neonatal abstinence syndrome and Newborn affected by maternal conditions or complications of labor/delivery.

Code Identity

ICD-10-CM Code
P04.41
Billable Status
Yes — Valid for Submission
Code Describes
Newborn affected by maternal use of cocaine
Short Description
Newborn affected by maternal use of cocaine
Same as the full description in the CMS dataset.
Parent Code
P04.4
Newborn affected by maternal use of drugs of addiction

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
CategoryP04Newborn affected by noxious substances transmitted via placenta or breast milk
This CodeP04.41Newborn affected by maternal use of cocaine

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Absorption
      • drug NEC
        • addictive
          • through placenta (newborn)
            • cocaine
    • Crack baby
    • Newborn(infant) (liveborn) (singleton)
      • affected by
        • cocaine (crack)
    • Newborn(infant) (liveborn) (singleton)
      • affected by
        • drugs of addiction
          • cocaine

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL014
Neonatal abstinence syndrome
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR PNL010
Newborn affected by maternal conditions or complications of labor/delivery
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Cocaine

Cocaine is a very addictive drug that is made from leaves of the coca plant found in South America. It is mostly available as an illegal drug that some people use to get high. In rare cases, it is also used as a prescription drug for for anesthesia during certain surgeries.

The full article covers:

  • What is cocaine?
  • How do people use cocaine?
  • What are the short-term effects of cocaine?
  • What are the long-term effects of cocaine?
  • Can a person overdose on cocaine?
  • What are the treatments for cocaine use disorder?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert P04.41 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
760.75 Mat cocaine aff NB/fet
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P04.41Overview

Is P04.41 (Newborn affected by maternal use of drugs of addiction) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report newborn affected by maternal use of cocaine on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of P04.41?

Under the General Equivalence Mappings, newborn affected by maternal use of cocaine converts to ICD-9-CM 760.75 (mat cocaine aff NB/fet). The mapping is a direct match.

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.