P04 Newborn affected by noxious substances transmitted via placenta or breast milk

Category / Non-billable header 25 subcodes

Block: Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)

Includes

  • nonteratogenic effects of substances transmitted via placenta

Excludes 2 (not included here)

  • 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

  • any current condition in newborn, if applicable

Subcodes

Subcodes are listed below for reference. Detail pages are not available for chapters 11–22.

Code Description Billable
P04..0 Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery Yes
P04..1 Newborn affected by other maternal medication No
P04..11 Newborn affected by maternal antineoplastic chemotherapy Yes
P04..12 Newborn affected by maternal cytotoxic drugs Yes
P04..13 Newborn affected by maternal use of anticonvulsants Yes
P04..14 Newborn affected by maternal use of opiates Yes
P04..15 Newborn affected by maternal use of antidepressants Yes
P04..16 Newborn affected by maternal use of amphetamines Yes
P04..17 Newborn affected by maternal use of sedative-hypnotics Yes
P04..1A Newborn affected by maternal use of anxiolytics Yes
P04..18 Newborn affected by other maternal medication Yes
P04..19 Newborn affected by maternal use of unspecified medication Yes
P04..2 Newborn affected by maternal use of tobacco Yes
P04..3 Newborn affected by maternal use of alcohol Yes
P04..4 Newborn affected by maternal use of drugs of addiction No
P04..40 Newborn affected by maternal use of unspecified drugs of addiction Yes
P04..41 Newborn affected by maternal use of cocaine Yes
P04..42 Newborn affected by maternal use of hallucinogens Yes
P04..49 Newborn affected by maternal use of other drugs of addiction Yes
P04..5 Newborn affected by maternal use of nutritional chemical substances Yes
P04..6 Newborn affected by maternal exposure to environmental chemical substances Yes
P04..8 Newborn affected by other maternal noxious substances No
P04..81 Newborn affected by maternal use of cannabis Yes
P04..89 Newborn affected by other maternal noxious substances Yes
P04..9 Newborn affected by maternal noxious substance, unspecified Yes

Last reviewed: September 2026