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P04

Non-billable

Newborn affected by noxious substances transmitted via placenta or breast milk

P04 is the ICD-10-CM code for Newborn affected by noxious substances transmitted via placenta or breast milk. It is a non-billable category code — use a more specific child code such as P04.0 for billing.

Status
Header (non-billable)
Chapter
P00-P96
Subcodes
9
Edition
FY2026

P00-P96 Certain conditions originating in the perinatal period

Includes

  • •nonteratogenic effects of substances transmitted via placenta

Excludes2 — not included here

  • •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 first

  • •any current condition in newborn, if applicable

Frequently asked questions

What is ICD-10 code P04?
P04 is the ICD-10-CM code for "Newborn affected by noxious substances transmitted via placenta or breast milk". It falls under P00-P96 Certain conditions originating in the perinatal period.
Is P04 a billable code?
No — P04 is a non-billable header code. Use a more specific child code (such as P04.0) for billing.
What are the subcodes of P04?
P04 has 9 more specific child codes, including P04.0, P04.1, P04.2.

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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