P04.4 vs P93
P04.4 (Newborn affected by maternal use of drugs of addiction) compared with P93 (Reactions and intoxications due to drugs administered to newborn), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. P93 carries an Excludes1 note covering P04.4: “reactions and intoxications from maternal opiates, tranquilizers and other medication (P04.0-P04.1, P04.4-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| P04.4Newborn affected by maternal use of drugs of addiction | P93Reactions and intoxications due to drugs administered to newborn | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| 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 drugs of addiction is a non-billable ICD-10-CM category code (P04.4). | Reactions and intoxications due to drugs administered to newborn is a non-billable ICD-10-CM category code (P93). |
| Includes | nonteratogenic effects of substances transmitted via placenta | reactions and intoxications due to drugs administered to fetus affecting newborn |
| 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