{"code":"P04.4","type":"code","title":"Newborn affected by maternal use of drugs of addiction","codeAlso":[],"includes":["nonteratogenic effects of substances transmitted via placenta"],"modern_v":"official26","codeFirst":["any current condition in newborn, if applicable"],"excludes1":[],"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.-)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true},"sibling_codes":["P04.40","P04.41","P04.42","P04.49"],"inclusionTerms":[],"sibling_titles":{"code":"P04.49","title":"Newborn affected by maternal use of other drugs of addiction","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Newborn affected by maternal use of drugs of addiction is a non-billable ICD-10-CM category code (P04.4). A more specific billable subcode must be selected for claims submission. 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.","officialDefinition":"Newborn affected by maternal use of drugs of addiction is a non-billable ICD-10-CM category code (P04.4). A more specific billable subcode must be selected for claims submission. 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.","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}