P04
⚠ Non-billable
Newborn affected by noxious substances transmitted via placenta or breast milk
ICD-10-CM · FY2026 · Certain Conditions Originating in the Perinatal Period
Code
P04
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Certain Conditions Originating in the Perinatal Period
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.
Frequently asked questions
What is ICD-10 code P04?
ICD-10-CM code P04 represents Newborn affected by noxious substances transmitted via placenta or breast milk. It is a non-billable header code requiring a more specific subcategory in the Certain Conditions Originating in the Perinatal Period chapter, effective October 1, 2025 – September 30, 2026.
Is P04 billable?
No. P04 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is P04 in?
P04 belongs to the Certain Conditions Originating in the Perinatal Period chapter (P00–P96) of ICD-10-CM.
Related codes in the P04 category
P04.0
Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
Billable
P04.1
Newborn affected by other maternal medication
Non-billable
P04.2
Newborn affected by maternal use of tobacco
Billable
P04.3
Newborn affected by maternal use of alcohol
Billable
P04.4
Newborn affected by maternal use of drugs of addiction
Non-billable
P04.5
Newborn affected by maternal use of nutritional chemical substances
Billable
P04.6
Newborn affected by maternal exposure to environmental chemical substances
Billable
P04.8
Newborn affected by other maternal noxious substances
Non-billable
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