InnovaRx Innova Health Strategies

P04.41

Newborn affected by maternal use of cocaine

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 9 never code together
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 5
P04code
Includes
  • nonteratogenic effects of substances transmitted via placenta
Code first
  • any current condition in newborn, if applicable
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 3
  • Absorption
    • drug NEC — see Table of Drugs and Chemicals
      • addictive
  • Newborn (infant) (liveborn) (singleton) Z38.2
  • Crack baby P04.41
Alongside this code 3 same parent — P04.4
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
P04.4
Block
P00-P04
Siblings
3

Present FY2024–FY2027.