P93 vs P96.1
P93 (Reactions and intoxications due to drugs administered to newborn) compared with P96.1 (Neonatal withdrawal symptoms from maternal use of drugs of addiction), 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 P96.1: “withdrawal symptoms from maternal use of drugs of addiction (P96.1)”
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
| P93Reactions and intoxications due to drugs administered to newborn | P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction | |
|---|---|---|
| Billing status | Non-billable header | 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 | Reactions and intoxications due to drugs administered to newborn is a non-billable ICD-10-CM category code (P93). | Neonatal withdrawal symptoms from maternal use of drugs of addiction is a billable ICD-10-CM diagnosis code (P96.1). |
| Includes | reactions and intoxications due to drugs administered to fetus affecting newborn | Drug withdrawal syndrome in infant of dependent mother Neonatal abstinence syndrome |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources