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Compare/P00 vs T40.906D

P00 vs T40.906D

P00 (Newborn affected by maternal conditions that may be unrelated to present pregnancy) compared with T40.906D (Underdosing of unspecified psychodysleptics [hallucinogens], subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T40.906D carries an Excludes2 note covering P00: “drug reaction and poisoning affecting newborn (P00-P96)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

P00Newborn affected by maternal conditions that may be unrelated to present pregnancyT40.906DUnderdosing of unspecified psychodysleptics [hallucinogens], subsequent encounter
Billing statusNon-billable header

Report instead: P00.0, P00.1, P00.2, P00.3, P00.4

Billable
ClassificationP00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionNewborn affected by maternal conditions that may be unrelated to present pregnancy is a non-billable ICD-10-CM category code (P00).Underdosing of unspecified psychodysleptics [hallucinogens], subsequent encounter is a billable ICD-10-CM diagnosis code (T40.906D).
7th characterThe appropriate 7th character is to be added to each code from category T40
Includes
adverse effect of correct substance properly administered
poisoning by overdose of substance
poisoning by wrong substance given or taken in error
underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
Use additional code
code(s) to specify:
manifestations of poisoning
underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
Code first
any current condition in newborn
, for adverse effects, the nature of the adverse effect, such as:
adverse effect NOS (T88.7)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources