ICD-10-CM P04: Newborn affected by noxious substances transmitted via placenta or breast milk

ICD-10-CM Diagnosis Code (2025)

Official Description for P04

Newborn affected by noxious substances transmitted via placenta or breast milk

Coding Notes & Guidelines for P04

Includes Notes

nonteratogenic effects of substances transmitted via placenta

Excludes1: Not Coded Here
  • dysmorphism due to warfarin (Q86.2)
  • fetal hydantoin syndrome (Q86.1)
Excludes1: Not Coded Here

fetal alcohol syndrome (Q86.0)

Excludes2: Not Included Here
  • 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.-)
Excludes2: Not Included Here

newborn affected by other maternal medication (P04.1-)

Excludes2: Not Included Here
  • maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)
  • maternal use of drugs of addiction (P04.4-)
Excludes2: Not Included Here

newborn exposure to environmental tobacco smoke (P96.81)

Excludes2: Not Included Here

newborn affected by other maternal medication (P04.1-)

Excludes2: Not Included Here
  • newborn affected by maternal anesthesia and analgesia (P04.0)
  • withdrawal symptoms from maternal use of drugs of addiction (P96.1)
Code First

any current condition in newborn, if applicable

Code First
  • , if applicable, withdrawal symptoms from maternal use of drugs of addiction (P96.1)
  • withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)
Inclusion Terms

Newborn affected by reactions and intoxications from maternal opiates and tranquilizers administered for procedures during pregnancy or labor and delivery

Inclusion Terms

Newborn affected by exposure in utero to tobacco smoke

Child Codes (More Specific Codes for P04):

P04.0 - Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery P04.1 - Newborn affected by other maternal medication 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 P04.15 - Newborn affected by maternal use of antidepressants P04.16 - Newborn affected by maternal use of amphetamines P04.17 - Newborn affected by maternal use of sedative-hypnotics P04.18 - Newborn affected by other maternal medication P04.19 - Newborn affected by maternal use of unspecified medication P04.1A - Newborn affected by maternal use of anxiolytics P04.2 - Newborn affected by maternal use of tobacco P04.3 - Newborn affected by maternal use of alcohol P04.4 - Newborn affected by maternal use of drugs of addiction P04.40 - Newborn affected by maternal use of unspecified drugs of addiction P04.41 - Newborn affected by maternal use of cocaine P04.42 - Newborn affected by maternal use of hallucinogens P04.49 - Newborn affected by maternal use of other drugs of addiction P04.5 - Newborn affected by maternal use of nutritional chemical substances P04.6 - Newborn affected by maternal exposure to environmental chemical substances P04.8 - Newborn affected by other maternal noxious substances P04.81 - Newborn affected by maternal use of cannabis P04.89 - Newborn affected by other maternal noxious substances P04.9 - Newborn affected by maternal noxious substance, unspecified

About ICD-10-CM Code P04 (Newborn affected by noxious substances transmitted via placenta or breast milk)

ICD-10-CM code P04 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM P04 became effective on October 1, 2024.

This page provides detailed information about P04 - Newborn affected by noxious substances transmitted via placenta or breast milk. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Newborn affected by noxious substances transmitted via placenta or breast milk.