ICD10Check
CheckerBrowseOpen

P04.4

⚠ Non-billable (Header)

Newborn affected by maternal use of drugs of addiction

Certain conditions originating in the perinatal period (P00-P96)

⚠️ This is a category header code — not billable. Use a more specific child code below.

Check This Code

⚠️ Excludes2

inherited

Rules inherited from parent codes.

P04
  • • 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 Instructions

inherited
P04
  • • Code first: any current condition in newborn, if applicable

Child Codes (4)

P04.40Newborn affected by maternal use of unspecified drugs of addictionP04.41Newborn affected by maternal use of cocaineP04.42Newborn affected by maternal use of hallucinogensP04.49Newborn affected by maternal use of other drugs of addiction

Clinical Description

ICD-10-CM code P04.4 represents newborn affected by maternal use of drugs of addiction. This code falls under the Certain conditions originating in the perinatal period (P00-P96) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

This is a 5-character code at the 4th level of specificity. There are 4 more specific child codes under P04.4.

Frequently Asked Questions

What is ICD-10 code P04.4?

ICD-10-CM code P04.4 is "Newborn affected by maternal use of drugs of addiction". It belongs to the category: Certain conditions originating in the perinatal period (P00-P96).

Is P04.4 a billable ICD-10 code?

No, P04.4 is a non-billable header code. A more specific child code must be used for billing.

Can P04.4 be coded with other codes?

P04.4 has 4 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in P04

Other codes in the same category that may be relevant for differential coding:

P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryP04.1Newborn affected by other maternal medicationP04.2Newborn affected by maternal use of tobaccoP04.3Newborn affected by maternal use of alcoholP04.5Newborn affected by maternal use of nutritional chemical substancesP04.6Newborn affected by maternal exposure to environmental chemical substancesP04.8Newborn affected by other maternal noxious substancesP04.9Newborn affected by maternal noxious substance, unspecified

🧪 Validate Combinations

Add P04.4 to the Excludes Checker to validate against your full code list.

Open in Checker →

Code Information

CodeP04.4
BillableNo — Header code
ParentP04
CategoryCertain conditions originating in the perinatal period (P00-P96)
Excludes10 rule(s)
Excludes24 note(s)
Child codes4

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)