P04.0 Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
Billable ICD-10-CM code, FY2026.
Applicable to
Newborn affected by reactions and intoxications from maternal opiates and tranquilizers administered for procedures during pregnancy or labor and delivery
Excludes2 (not included here)
newborn affected by other maternal medication (P04.1-)
Applies from P04 Newborn affected by noxious substances transmitted via placenta or breast milk
Includes
nonteratogenic effects of substances transmitted via placenta
Excludes2 (not included here)
congenital malformations (Q00-Q99)
encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)
newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)
Code first
any current condition in newborn, if applicable
Risk adjustment (HCC)
CMS-HCC V28: HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
MS-DRG index
Defines the logic of DRG(s) 794 in MDC 15.
Approximate ICD-9-CM (GEMs)
763.5 Maternal anesthesia and analgesia affecting fetus or newborn
Code annotations containing back-references to P04.0
Back-references to P04.0
Type 2 Excludes: P04.1 Newborn affected by other maternal medication ("maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)")
Type 2 Excludes: P04.49 Newborn affected by maternal use of other drugs of addiction ("newborn affected by maternal anesthesia and analgesia (P04.0)")
Type 1 Excludes: P93 Reactions and intoxications due to drugs administered to newborn ("reactions and intoxications from maternal opiates, tranquilizers and other medication (P04.0-P04.1, P04.4-)")
Type 1 Excludes: P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction ("reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)")
Back-references to P04
Type 2 Excludes: P00 Newborn affected by maternal conditions that may be unrelated to present pregnancy ("newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)")
Type 2 Excludes: Q86 Congenital malformation syndromes due to known exogenous causes, not elsewhere classified ("nonteratogenic effects of substances transmitted via placenta or breast milk (P04.-)")
Type 2 Excludes: Z77 Other contact with and (suspected) exposures hazardous to health ("newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)")
Diagnosis Index entries for P04.0
Absorption › chemical › through placenta (newborn) › obstetric anesthetic or analgesic drug
Absorption › drug NEC › through placenta (newborn) › obstetric anesthetic or analgesic drug
Newborn (infant) (liveborn) (singleton) › affected by › maternal (complication of) (use of) › opiates › administered for procedures during pregnancy or labor and delivery
Newborn (infant) (liveborn) (singleton) › affected by › maternal (complication of) (use of) › tranquilizers administered for procedures during pregnancy or labor and delivery
Nearby codes
P04 Newborn affected by noxious substances transmitted via placenta or breast milk
P04.0 Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery (this code)
P04.1 Newborn affected by other maternal medication
P04.11 Newborn affected by maternal antineoplastic chemotherapy
P04.12 Newborn affected by maternal cytotoxic drugs
P04.13 Newborn affected by maternal use of anticonvulsants
P04.14 Newborn affected by maternal use of opiates