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P96.1

Neonatal withdrawal symptoms from maternal use of drugs of addiction

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 6 never code together
P96.1code
Excludes1
  • reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)P04.0P04.0
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

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

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

Instructional notes 4
P96.1code
Inclusion terms
  • Drug withdrawal syndrome in infant of dependent mother
  • Neonatal abstinence syndrome
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 6
  • Syndrome — see also Disease
    • abstinence, neonatal P96.1
    • withdrawal — see Withdrawal, state
      • drug
        • infant of dependent mother P96.1
    • drug withdrawal, infant of dependent mother P96.1
    • neonatal abstinence P96.1
  • Abstinence symptoms, syndrome
  • Newborn (infant) (liveborn) (singleton) Z38.2
    • abstinence syndrome P96.1
    • affected by
      • neonatal abstinence syndrome P96.1
  • Dependence (on) (syndrome) F19.20
  • Reaction — see also Disorder
    • drug NEC T88.7
      • withdrawal — see Dependence, by drug, with, withdrawal
  • Withdrawal state — see also Dependence, drug by type, with withdrawal
    • newborn
      • infant of dependent mother P96.1
Alongside this code 6 same parent — P96
P96.0 Congenital renal failure P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn P96.3 Wide cranial sutures of newborn P96.5 Comp to newborn due to (fetal) intrauterine procedure P96.8 Oth conditions originating in the perinatal period category P96.9 Condition originating in the perinatal period, unspecified
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
P96
Block
P90-P96
Siblings
6

Present FY2024–FY2027.