P04.1

Non-billable

Newborn affected by other maternal medication

Newborn affected by other maternal medication

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

Parent Code

P04

Child Codes

10

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 1

Codes that cannot be used together with this code (mutual exclusion)

  • dysmorphism due to warfarin (Q86.2)
  • fetal hydantoin syndrome (Q86.1)

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.-)
  • maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)
  • maternal use of drugs of addiction (P04.4-)

Code First

The underlying condition must be sequenced before this code

  • any current condition in newborn, if applicable
  • , if applicable, withdrawal symptoms from maternal use of drugs of addiction (P96.1)
  • withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)

Child Codes (10)

Also Known As / Clinical Terms

Frequently Asked Questions

What is ICD-10 code P04.1?

ICD-10-CM code P04.1 represents "Newborn affected by other maternal medication". It is a non-billable header code — use a more specific child code for billing purposes.

Is P04.1 a billable code?

No, P04.1 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 10 child codes under P04.1.

What chapter is P04.1 in?

P04.1 is in Chapter 16: Certain Conditions Originating in the Perinatal Period (codes P00-P96).

What codes cannot be used with P04.1?

P04.1 has Excludes1 notes indicating codes that cannot be used together with it, including: dysmorphism due to warfarin (Q86.2); fetal hydantoin syndrome (Q86.1).

What are the subcategories under P04.1?

P04.1 has 10 child codes, including: P04.11 (Newborn affected by maternal antineoplastic chemotherapy), P04.12 (Newborn affected by maternal cytotoxic drugs), P04.13 (Newborn affected by maternal use of anticonvulsants), P04.14 (Newborn affected by maternal use of opiates), and 6 more.

What are the UMLS CUIs for P04.1?

P04.1 is linked to 1 UMLS Concept Unique Identifier: C4269121. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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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.