2026 ICD-10-CM Diagnosis Code P96.81Exposure to (parental) (environmental) tobacco smoke in the perinatal period

ICD-10-CM CodesP00–P96P90-P96P96

ICD-10-CM P96.81
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P96.81 is a billable ICD-10-CM diagnosis code for exposure to (parental) (environmental) tobacco smoke in the perinatal period. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as exposure to second hand tobacco smoke. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified perinatal conditions.

Code Identity

ICD-10-CM Code
P96.81
Billable Status
Yes — Valid for Submission
Code Describes
Exposure to (parental) (environmental) tobacco smoke in the perinatal period
Short Description
Expsr to (environmental) tobacco smoke in the perinat period
Parent Code
Other specified conditions originating in the perinatal period

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP90-P96Other disorders originating in the perinatal period
CategoryP96Other conditions originating in the perinatal period
This CodeP96.81Exposure to (parental) (environmental) tobacco smoke in the perinatal period

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Exposure to second hand tobacco smoke
  • History of exposure to second hand smoke
  • Neonatal exposure to tobacco smoke
  • Passive smoker
  • Poisoning caused by smoke
  • Smoker in home
  • Toxic effect of secondary tobacco exposure

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 2 Excludes

  • newborn affected by in utero exposure to tobacco P04.2
  • exposure to environmental tobacco smoke after the perinatal period Z77.22

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.

    • Exposure(to)
      • second hand tobacco smoke (acute) (chronic)
        • in the perinatal period
    • Second hand tobacco smoke exposure(acute) (chronic)
      • in the perinatal period

Clinical ClassificationClinical

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

CCSR PNL013
Other specified and unspecified perinatal conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Secondhand Smoke

Secondhand smoke is a mixture of the smoke that comes from the burning end of a cigarette, cigar, or pipe, and the smoke breathed out by the smoker. It contains more than 7,000 chemicals. Hundreds of those chemicals are toxic and about 70 can cause cancer.

Read the full article at MedlinePlus

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

Convert P96.81 to ICD-9-CMHistory

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

ICD-9-CM
760.8 Maternal cond NEC aff NB
Approximate The match is approximate rather than exact.

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 P96.81Overview

Is P96.81 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report exposure to (parental) (environmental) tobacco smoke in the perinatal period on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of P96.81?

Under the General Equivalence Mappings, exposure to (parental) (environmental) tobacco smoke in the perinatal period converts to ICD-9-CM 760.8 (maternal cond NEC aff NB). 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.