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P04.1 vs P04.4

P04.1 (Newborn affected by other maternal medication) compared with P04.4 (Newborn affected by maternal use of drugs of addiction), 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. P04.1 carries an Excludes2 note covering P04.4: “maternal use of drugs of addiction (P04.4-)”

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

Side by side

P04.1Newborn affected by other maternal medicationP04.4Newborn affected by maternal use of drugs of addiction
Billing statusNon-billable header

Report instead: P04.11, P04.12, P04.13, P04.14, P04.15

Non-billable header

Report instead: P04.40, P04.41, P04.42, P04.49

ClassificationP00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)
DefinitionNewborn affected by other maternal medication is a non-billable ICD-10-CM category code (P04.1).Newborn affected by maternal use of drugs of addiction is a non-billable ICD-10-CM category code (P04.4).
Includes
nonteratogenic effects of substances transmitted via placenta
nonteratogenic effects of substances transmitted via placenta
Code first
, if applicable, withdrawal symptoms from maternal use of drugs of addiction (P96.1)
withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)
any current condition in newborn, if applicable

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