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P04.1

Non-billable

Newborn affected by other maternal medication

P04.1 is the ICD-10-CM code for Newborn affected by other maternal medication. It is a non-billable category code — use a more specific child code such as P04.11 for billing.

Status
Header (non-billable)
Chapter
P00-P96
Parent
P04
Subcodes
10
Edition
FY2026

P00-P96 Certain conditions originating in the perinatal period

Excludes1 — not coded here

  • •dysmorphism due to warfarin (Q86.2)
  • •fetal hydantoin syndrome (Q86.1)

Excludes2 — not included here

  • •maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)
  • •maternal use of drugs of addiction (P04.4-)

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)

Frequently asked questions

What is ICD-10 code P04.1?
P04.1 is the ICD-10-CM code for "Newborn affected by other maternal medication". It falls under P00-P96 Certain conditions originating in the perinatal period.
Is P04.1 a billable code?
No — P04.1 is a non-billable header code. Use a more specific child code (such as P04.11) for billing.
What are the subcodes of P04.1?
P04.1 has 10 more specific child codes, including P04.11, P04.12, P04.13.
What is excluded from P04.1?
Excludes1 (not coded here): dysmorphism due to warfarin (Q86.2); fetal hydantoin syndrome (Q86.1).

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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