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P04.0

Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 10 never code together
P04.0code
Excludes2
  • newborn affected by other maternal medication (P04.1-)P04.1-P04.1-
P04code
Excludes2
  • congenital malformations (Q00-Q99)Q00-Q99
  • encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)Z05.-
  • neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)P58.4
  • newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)Z77.-
P00-P96chapter
Excludes2
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • tetanus neonatorum (A33)A33

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 6
P04code
Includes
  • nonteratogenic effects of substances transmitted via placenta
Code first
  • any current condition in newborn, if applicable
P04.0code
Inclusion terms
  • Newborn affected by reactions and intoxications from maternal opiates and tranquilizers administered for procedures during pregnancy or labor and delivery
P00-P04block
Notes
  • These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
P00-P96chapter
Notes
  • Codes from this chapter are for use on newborn records only, never on maternal records
Includes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Index entries leading here 2
  • Absorption
    • chemical — see Table of Drugs and Chemicals
      • through placenta (newborn) P04.9
        • obstetric anesthetic or analgesic drug P04.0
    • drug NEC — see Table of Drugs and Chemicals
      • through placenta (newborn) P04.19
        • obstetric anesthetic or analgesic drug P04.0
  • Newborn (infant) (liveborn) (singleton) Z38.2
    • affected by
      • maternal (complication of) (use of)
        • opiates P04.14
          • administered for procedures during pregnancy or labor and delivery P04.0
        • analgesia (maternal) P04.0
        • anesthesia (maternal) P04.0
        • tranquilizers administered for procedures during pregnancy or labor and delivery P04.0
Alongside this code 8 same parent — P04
Medications 1

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS28HCC137

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
P04
Block
P00-P04
Siblings
8

Present FY2024–FY2027.