2026 ICD-10-CM Diagnosis Code P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
ICD-10-CM Codes›P00–P96›P90-P96›P96
- Billable — Valid for Submission
- Not Chronic
P96.1 is a billable ICD-10-CM diagnosis code for neonatal withdrawal symptoms from maternal use of drugs of addiction. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as neonatal abstinence syndrome. 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
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Neonatal abstinence syndrome
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Drug withdrawal syndrome in infant of dependent mother
- Neonatal abstinence syndrome
Type 1 Excludes
- reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery P04.0
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Abstinence symptoms, syndrome
- neonatal - P96.1
- Dependence (on) (syndrome) - F19.20
- withdrawal symptoms in newborn - P96.1
- Newborn (infant) (liveborn) (singleton) - Z38.2
- abstinence syndrome - P96.1
- neonatal abstinence syndrome - P96.1
- Reaction - See Also: Disorder;
- withdrawal - See: Dependence, by drug, with, withdrawal;
- infant of dependent mother - P96.1
- newborn - P96.1
- Syndrome - See Also: Disease;
- abstinence, neonatal - P96.1
- neonatal abstinence - P96.1
- withdrawal - See: Withdrawal, state;
- drug
- infant of dependent mother - P96.1
- Withdrawal state - See Also: Dependence, drug by type, with withdrawal;
- newborn
- infant of dependent mother - P96.1
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Abstinence symptoms, syndrome
- neonatal
- Dependence(on) (syndrome)
- drug NEC
- cocaine
- withdrawal symptoms in newborn
- Newborn(infant) (liveborn) (singleton)
- abstinence syndrome
- Newborn(infant) (liveborn) (singleton)
- affected by
- neonatal abstinence syndrome
- Reaction
- drug NEC
- withdrawal
- infant of dependent mother
- Reaction
- drug NEC
- withdrawal
- newborn
- Syndrome
- abstinence, neonatal
- Syndrome
- drug withdrawal, infant of dependent mother
- Syndrome
- neonatal abstinence
- Syndrome
- withdrawal
- drug
- infant of dependent mother
- Withdrawal state
- newborn
- infant of dependent mother
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Neonatal Abstinence Syndrome
fetal and neonatal addiction and withdrawal as a result of the mother's dependence on drugs during pregnancy. withdrawal or abstinence symptoms develop shortly after birth. symptoms exhibited are loud, high-pitched crying, sweating, yawning and gastrointestinal disturbances.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert P96.1 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About P96.1Overview
Is P96.1 (Other conditions originating in the perinatal period) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report neonatal withdrawal symptoms from maternal use of drugs of addiction on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What is the ICD-9 equivalent of P96.1?
Under the General Equivalence Mappings, neonatal withdrawal symptoms from maternal use of drugs of addiction converts to ICD-9-CM 779.5 (NB drug withdrawal syndr). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
