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P04
Non-billable

Newborn affected by noxious substances transmitted via placenta or breast milk

Chapter 16: Certain conditions originating in the perinatal period

Includes

1 item
  • nonteratogenic effects of substances transmitted via placenta

Excludes2

4 items
  • 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.-)

Code First

1 item
  • any current condition in newborn, if applicable

Coding Guidance

P04 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Parent Codes Referenced:

Includes

1 item

From P00-P96:

  • 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

Excludes2

5 items

From P00-P96:

  • 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)

Notes

1 item

From P00-P96:

  • Codes from this chapter are for use on newborn records only, never on maternal records
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