P04.2 vs P96.81
P04.2 (Newborn affected by maternal use of tobacco) compared with P96.81 (Exposure to (parental) (environmental) tobacco smoke in the perinatal period), 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. P04.2 carries an Excludes2 note covering P96.81: “newborn exposure to environmental tobacco smoke (P96.81)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. P96.81 carries an Excludes2 note covering P04.2: “newborn affected by in utero exposure to tobacco (P04.2)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| P04.2Newborn affected by maternal use of tobacco | P96.81Exposure to (parental) (environmental) tobacco smoke in the perinatal period | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Newborn affected by maternal use of tobacco is a billable ICD-10-CM diagnosis code (P04.2). | Exposure to (parental) (environmental) tobacco smoke in the perinatal period is a billable ICD-10-CM diagnosis code (P96.81). |
| Includes | nonteratogenic effects of substances transmitted via placenta Newborn affected by exposure in utero to tobacco smoke | — |
| Code first | 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