2025 ICD-10-CM code P04
Newborn affected by noxious substances transmitted via placenta or breast milk.
Medical necessity is established by the presence of signs and symptoms in the newborn directly related to noxious substances transmitted via placenta or breast milk.
The physician is responsible for assessing the newborn's condition, determining if any harmful substances were transmitted from the mother, and providing appropriate treatment and care.
- XV Certain conditions originating in the perinatal period
- P00-P04 Newborn affected by maternal factors and by complications of pregnancy, labor and delivery
In simple words: This code describes a newborn baby experiencing health issues due to harmful substances passed from the mother through the placenta or breast milk. These substances aren't related to birth defects.
Newborn affected by noxious substances transmitted via placenta or breast milk. Code first any current condition in newborn, if applicable. Includes: nonteratogenic effects of substances transmitted via placenta. Excludes2: 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.-)
Example 1: A newborn experiences withdrawal symptoms shortly after birth due to the mother's opioid use during pregnancy., A newborn develops a rash after breastfeeding, linked to a medication the mother is taking., A newborn presents with fetal alcohol syndrome due to maternal alcohol consumption during pregnancy.
Documentation should include details of the mother's medical history, medications used during pregnancy and breastfeeding, the newborn's symptoms and clinical findings, and any diagnostic tests performed.
- Specialties:Neonatology, Pediatrics, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Birthing Center