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ICD-10-CM · FY 2026 APRIL UPDATE

P04

Newborn affected by noxious substances transmitted via placenta or breast milk

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryBillable
P04.1Newborn affected by other maternal medicationCategory
P04.11Newborn affected by maternal antineoplastic chemotherapyBillable
P04.12Newborn affected by maternal cytotoxic drugsBillable
P04.13Newborn affected by maternal use of anticonvulsantsBillable
P04.14Newborn affected by maternal use of opiatesBillable
P04.15Newborn affected by maternal use of antidepressantsBillable
P04.16Newborn affected by maternal use of amphetaminesBillable
P04.17Newborn affected by maternal use of sedative-hypnoticsBillable
P04.1ANewborn affected by maternal use of anxiolyticsBillable
P04.18Newborn affected by other maternal medicationBillable
P04.19Newborn affected by maternal use of unspecified medicationBillable
P04.2Newborn affected by maternal use of tobaccoBillable
P04.3Newborn affected by maternal use of alcoholBillable
P04.4Newborn affected by maternal use of drugs of addictionCategory
P04.40Newborn affected by maternal use of unspecified drugs of addictionBillable
P04.41Newborn affected by maternal use of cocaineBillable
P04.42Newborn affected by maternal use of hallucinogensBillable
P04.49Newborn affected by maternal use of other drugs of addictionBillable
P04.5Newborn affected by maternal use of nutritional chemical substancesBillable
P04.6Newborn affected by maternal exposure to environmental chemical substancesBillable
P04.8Newborn affected by other maternal noxious substancesCategory
P04.81Newborn affected by maternal use of cannabisBillable
P04.89Newborn affected by other maternal noxious substancesBillable
P04.9Newborn affected by maternal noxious substance, unspecifiedBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.