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ICD-10-CM 2027 diagnosis code

P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction

✓ Billable / specificCC — complication/comorbidity

P96.1 is a valid, billable ICD-10-CM code for neonatal withdrawal symptoms from maternal use of drugs of addiction. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Neonatal w/drawal symp from matern use of drugs of addiction

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About P96.1

P96.1 is the ICD-10-CM diagnosis code for neonatal withdrawal symptoms from maternal use of drugs of addiction. It belongs to category P96 (other conditions originating in the perinatal period), block P90-P96 (other disorders originating in the perinatal period) and chapter 16 (certain conditions originating in the perinatal period). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within P96 (other conditions originating in the perinatal period), P96.1 is specifically for neonatal withdrawal symptoms from maternal use of drugs of addiction. Related codes cover congenital renal failure (P96.0), withdrawal symptoms from therapeutic use of drugs in newborn (P96.2), Wide cranial sutures of newborn (P96.3), complication to newborn due to (fetal) intrauterine procedure (P96.5), other specified conditions originating in the perinatal period (P96.8) and condition originating in the perinatal period, unspecified (P96.9).

Don't report P96.1 together with the conditions in its Excludes1 note: reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 779.5 (drug withdrawal syndrome in newborn).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Drug withdrawal syndrome in infant of dependent mother
  • Neonatal abstinence syndrome
Excludes1Not coded here — never report together with this code
  • reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)

Notes that apply from higher levels

Instructions written at a parent level also apply to P96.1.

Broader instructions also apply from Chapter 16: Certain conditions originating in the perinatal period.

Alphabetic index entries

11 entries

Terms in the official ICD-10-CM index that lead to P96.1.

Codes whose notes reference P96.1

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

ICD-9-CM equivalent

Converter →
  • 779.5Drug withdrawal syndrome in newbornapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about P96.1

Is P96.1 billable?

Yes. P96.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can P96.1 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict P96.1 as a principal diagnosis.

Is P96.1 a CC or MCC?

P96.1 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does P96.1 group to?

P96.1 is used in the MS-DRG v44.0 logic for MS-DRG 791 (Prematurity with Major Problems) and MS-DRG 793 (Full Term Neonate with Major Problems). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for P96.1?

The CMS General Equivalence Mappings map P96.1 to ICD-9-CM 779.5.