P04.1
Header — not billableNewborn affected by other maternal medication
The ICD-10 code for newborn affected by other maternal medication is P04.1.
P04.1 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 10 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.
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
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.
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.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •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 P04.1
- P04.11Newborn affected by maternal antineoplastic chemotherapy
- P04.12Newborn affected by maternal cytotoxic drugs
- P04.13Newborn affected by maternal use of anticonvulsants
- P04.14Newborn affected by maternal use of opiates
- P04.15Newborn affected by maternal use of antidepressants
- P04.16Newborn affected by maternal use of amphetamines
- P04.17Newborn affected by maternal use of sedative-hypnotics
- P04.18Newborn affected by other maternal medication
- P04.19Newborn affected by maternal use of unspecified medication
- P04.1ANewborn affected by maternal use of anxiolytics
Related codes in this category
- P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
- 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
- P04.1Newborn affected by other maternal medicationnon-billable header
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 76074Approximate match
- 76078Approximate match
- 76077Approximate match