P04.4Newborn affected by maternal use of drugs of addiction

P04.4 is the ICD-10-CM diagnosis code for newborn affected by maternal use of drugs of addiction. It belongs to category P04 (newborn affected by noxious substances transmitted via placenta or breast milk), block P00-P04 (newborn affected by maternal factors and by complications of pregnancy, labor, and delivery) and chapter 16 (certain conditions originating in the perinatal period). It is a header code, so it can't be reported by itself; one of its 4 subcodes must be used instead.

Within P04 (newborn affected by noxious substances transmitted via placenta or breast milk), P04.4 is specifically for newborn affected by maternal use of drugs of addiction. Related codes cover maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0), other maternal medication (P04.1), maternal use of tobacco (P04.2), maternal use of alcohol (P04.3), maternal use of nutritional chemical substances (P04.5), maternal exposure to environmental chemical substances (P04.6), other maternal noxious substances (P04.8) and maternal noxious substance, unspecified (P04.9).

To report this condition, pick the subcode that matches the documentation: P04.40 (addiction), P04.41 (cocaine), P04.42 (hallucinogens) and P04.49 (addiction).

Code first: any current condition in newborn, if applicable.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2017 (title revised).