P96.1
Billable codeNeonatal withdrawal symptoms from maternal use of drugs of addiction
The ICD-10 code for neonatal withdrawal symptoms from maternal use of drugs of addiction is P96.1.
Clinical notes
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).
- reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Drug withdrawal syndrome in infant of dependent mother
- Neonatal abstinence syndrome
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- P96.0Congenital renal failure
- P96.2Withdrawal symptoms from therapeutic use of drugs in newborn
- P96.3Wide cranial sutures of newborn
- P96.5Complication to newborn due to (fetal) intrauterine procedure
- P96.8Other specified conditions originating in the perinatal periodnon-billable header
- P96.9Condition originating in the perinatal period, unspecified
- P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 7795Approximate match
Associated MS-DRGs
P96.1 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.