P04
Header — not billableNewborn affected by noxious substances transmitted via placenta or breast milk
The ICD-10 code for newborn affected by noxious substances transmitted via placenta or breast milk is P04.
P04 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Code first
This code represents a manifestation of an underlying disease. Coding convention requires the underlying (etiology) code to be sequenced first, with this code listed second.
- any current condition in newborn, if applicable
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
- 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.-)
Includes
Terms listed here further define or give examples of the conditions grouped under this code — they describe what the code covers, not a separate diagnosis.
- nonteratogenic effects of substances transmitted via placenta
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This code represents a manifestation. Documentation should identify the underlying condition, which must be coded first.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under P04
- P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
- P04.1Newborn affected by other maternal medicationnon-billable header
- 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 addictionnon-billable header
- P04.5Newborn affected by maternal use of nutritional chemical substances
- P04.6Newborn affected by maternal exposure to environmental chemical substances
- P04.8Newborn affected by other maternal noxious substancesnon-billable header
- P04.9Newborn affected by maternal noxious substance, unspecified
Related codes in this category
- P00Newborn affected by maternal conditions that may be unrelated to present pregnancynon-billable header
- P01Newborn affected by maternal complications of pregnancynon-billable header
- P02Newborn affected by complications of placenta, cord and membranesnon-billable header
- P03Newborn affected by other complications of labor and deliverynon-billable header
- P04Newborn affected by noxious substances transmitted via placenta or breast milknon-billable header