P04
Non-billableNB aff by noxious substnc transmitd via plcnta or brst milk
Newborn affected by noxious substances transmitted via placenta or breast milk
This is a header/category code. For billing purposes, use a more specific child code from the list below.
Status
Non-billable / Header
Block
P00-P04
Child Codes
9
Coding Notes
Includes
Conditions included under this code
- conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
- nonteratogenic effects of substances transmitted via placenta
Excludes 2
Conditions not included here, but the patient may have both
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- tetanus neonatorum (A33)
- congenital malformations (Q00-Q99)
- encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
- neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)
- newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)
Code First
The underlying condition must be sequenced before this code
- any current condition in newborn, if applicable
Child Codes (9)
P04.0NB aff by matern anesth and analgesia in preg, labor and del
P04.1Newborn affected by other maternal medication
P04.2Newborn affected by maternal use of tobacco
P04.3Newborn affected by maternal use of alcohol
P04.4Newborn affected by maternal use of drugs of addiction
P04.5Newborn aff by maternal use of nutritional chemical substnc
P04.6Newborn aff by maternal exposure to environ chemical substnc
P04.8Newborn affected by other maternal noxious substances
P04.9Newborn affected by maternal noxious substance, unspecified
Also Known As / Clinical Terms
Frequently Asked Questions
What is ICD-10 code P04?
ICD-10-CM code P04 represents "Newborn affected by noxious substances transmitted via placenta or breast milk". It is a non-billable header code — use a more specific child code for billing purposes.
Is P04 a billable code?
No, P04 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 9 child codes under P04.
What chapter is P04 in?
P04 is in Chapter 16: Certain Conditions Originating in the Perinatal Period (codes P00-P96).
What are the subcategories under P04?
P04 has 9 child codes, including: P04.0 (NB aff by matern anesth and analgesia in preg, labor and del), P04.1 (Newborn affected by other maternal medication), P04.2 (Newborn affected by maternal use of tobacco), P04.3 (Newborn affected by maternal use of alcohol), and 5 more.
What are the UMLS CUIs for P04?
P04 is linked to 2 UMLS Concept Unique Identifiers: C4269119, C4290262. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
Automate ICD-10 Coding With AI
Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.
Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.