P04Non-billableSave
P04 - Newborn affected by noxious substances transmitted via placenta or breast milk
ICD-10-CM Chapter 16: Certain conditions originating in the perinatal period · P00-P04 Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04) · Top-level category · FY2027
Coding Guidance
P04 is a non-billable heading. Report one of the 9 more specific codes below.
Includes, Excludes and Coding Notes
IncludesFrom P04
Conditions this code covers.
- nonteratogenic effects of substances transmitted via placenta
Excludes 2 — Not Included HereFrom P04
Not part of this code; report both codes when the patient has both conditions.
- 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 FirstFrom P04
Sequence the underlying condition before this code.
- any current condition in newborn, if applicable
NotesFrom P00-P04 Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)
Instructional notes from the ICD-10-CM tabular list.
- These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
IncludesFrom Chapter P00-P96
Conditions this code covers.
- 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
Excludes 2 — Not Included HereFrom Chapter P00-P96
Not part of this code; report both codes when the patient has both conditions.
- 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)
NotesFrom Chapter P00-P96
Instructional notes from the ICD-10-CM tabular list.
- Codes from this chapter are for use on newborn records only, never on maternal records
More Specific Codes (9)
P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryBillable→P04.1Newborn affected by other maternal medicationCategory→P04.2Newborn affected by maternal use of tobaccoBillable→P04.3Newborn affected by maternal use of alcoholBillable→P04.4Newborn affected by maternal use of drugs of addictionCategory→P04.5Newborn affected by maternal use of nutritional chemical substancesBillable→P04.6Newborn affected by maternal exposure to environmental chemical substancesBillable→P04.8Newborn affected by other maternal noxious substancesCategory→P04.9Newborn affected by maternal noxious substance, unspecifiedBillable→
Chapter Information
Related ICD-10 Codes
More specific codes for P04
Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
P04.0›
Newborn affected by other maternal medicationP04.1›
Newborn affected by maternal use of tobaccoP04.2›
Newborn affected by maternal use of alcoholP04.3›
Newborn affected by maternal use of drugs of addictionP04.4›
Newborn affected by maternal use of nutritional chemical substancesP04.5›
Newborn affected by maternal exposure to environmental chemical substancesP04.6›
Newborn affected by other maternal noxious substancesP04.8›
Newborn affected by maternal noxious substance, unspecifiedP04.9›
Other categories in this chapter
Codes at the same level as P04
- Newborn affected by maternal conditions that may be unrelated to present pregnancyP00
- Newborn affected by maternal complications of pregnancyP01
- Newborn affected by complications of placenta, cord and membranesP02
- Newborn affected by other complications of labor and deliveryP03
- Disorders of newborn related to slow fetal growth and fetal malnutritionP05
- Disorders of newborn related to short gestation and low birth weight, not elsewhere classifiedP07
- Disorders of newborn related to long gestation and high birth weightP08
- Abnormal findings on neonatal screeningP09
- Intracranial laceration and hemorrhage due to birth injuryP10
- Other birth injuries to central nervous systemP11
- Birth injury to scalpP12
- Birth injury to skeletonP13
- Birth injury to peripheral nervous systemP14
- Other birth injuriesP15
- Metabolic acidemia in newbornP19
- Respiratory distress of newbornP22
- Congenital pneumoniaP23
- Neonatal aspirationP24
- Interstitial emphysema and related conditions originating in the perinatal periodP25
- Pulmonary hemorrhage originating in the perinatal periodP26
- Chronic respiratory disease originating in the perinatal periodP27
- Other respiratory conditions originating in the perinatal periodP28
- Cardiovascular disorders originating in the perinatal periodP29
- Congenital viral diseasesP35
- Bacterial sepsis of newbornP36
- Other congenital infectious and parasitic diseasesP37
- Omphalitis of newbornP38
- Other infections specific to the perinatal periodP39
- Newborn affected by intrauterine (fetal) blood lossP50
- Umbilical hemorrhage of newbornP51
- Intracranial nontraumatic hemorrhage of newbornP52
- Hemorrhagic disease of newbornP53
- Other neonatal hemorrhagesP54
- Hemolytic disease of newbornP55
- Hydrops fetalis due to hemolytic diseaseP56
- KernicterusP57
- Neonatal jaundice due to other excessive hemolysisP58
- Neonatal jaundice from other and unspecified causesP59
- Disseminated intravascular coagulation of newbornP60
- Other perinatal hematological disordersP61
18 more in this chapter.