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ICD-10-CM Diagnosis Code P04.1

Effective Date: 10/01/2015 To 09/30/2018

Newborn affected by other maternal medication

CMS-HCC-V24 CMS-HCC-V28 RxHCC Age Gender Maternity Acute or Chronic MCC
-- -- -- Newborn -- -- Acute No
Excludes-1 for P04.1:
  • dysmorphism due to warfarin (Q86.2)

  • fetal hydantoin syndrome (Q86.1)

Excludes-2 for P04.1:
  • maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)

  • maternal use of drugs of addiction (P04.4-)

Chapter, Section and Diagnosis Prefix for P04.1
    P00-P96 :

    Certain conditions originating in the perinatal period

    P00-P04 :

    Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery

    P04 :

    Newborn affected by noxious substances transmitted via placenta or breast milk