U.S. ICD-10-CM · FY 2027

P04 ICD-10-CM Code: Newborn affected by noxious substances transmitted via placenta or breast milk

A clear reference for the official code description, hierarchy, and related coding information from the FY 2027 U.S. release.

Code definition

Official description

P04

Newborn affected by noxious substances transmitted via placenta or breast milk

ICD-10-CM diagnosis code · United States clinical modification

Classification

Where P04 sits

  1. 1

    Chapter 16

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

  2. 2

    Section

    Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)

  3. 3

    Category P04

    Newborn affected by noxious substances transmitted via placenta or breast milk

  4. 4

    Code P04

    Newborn affected by noxious substances transmitted via placenta or breast milk

More specific choices

Codes under P04

P04 is a non-billable category. Choose the child code that best matches the documented diagnosis.

P04.0

Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery

P04.1

Newborn affected by other maternal medication

P04.2

Newborn affected by maternal use of tobacco

P04.3

Newborn affected by maternal use of alcohol

P04.4

Newborn affected by maternal use of drugs of addiction

P04.5

Newborn affected by maternal use of nutritional chemical substances

P04.6

Newborn affected by maternal exposure to environmental chemical substances

P04.8

Newborn affected by other maternal noxious substances

P04.9

Newborn affected by maternal noxious substance, unspecified

Documentation details

Notes for this code

Inclusion terms

No inclusion terms are listed for P04.

Code first

  • any current condition in newborn, if applicable

Use additional code

No “use additional code” instruction is listed for P04.

Excludes1

Conditions that should not be reported together with this code.

No Excludes1 note is listed for P04.

Excludes2

Conditions not included here that may be reported separately when present.

  • 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.-)

Transparency

Source and release

Data release

U.S. ICD-10-CM · FY 2027

Effective date

Oct 1, 2026

Publisher

Vero Scribe Inc.

This reference is generated from Vero’s ICD-10-CM description, hierarchy, and code-note dataset. The visible content and structured data share that source.

Review the CDC/NCHS ICD-10-CM source

Code-specific guidance

Frequently asked questions

What does ICD-10-CM code P04 mean?

P04 is the FY 2027 U.S. ICD-10-CM code for “Newborn affected by noxious substances transmitted via placenta or breast milk.”

Is P04 a billable or specific ICD-10-CM code?

No. P04 has more specific child codes in the FY 2027 reference data. Select the code that matches the documentation and confirm the active code set and payer requirements.

Where is P04 located in ICD-10-CM?

P04 is listed in Chapter 16, Certain conditions originating in the perinatal period (P00-P96), within Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04) (P00–P04), under category P04, Newborn affected by noxious substances transmitted via placenta or breast milk.

What coding notes are listed for P04?

No inclusion terms are listed for P04 in this reference record. Code-first instructions: any current condition in newborn, if applicable. No Excludes1 note is listed. Excludes2 notes: 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.-).

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