P96.1
Billable

Neonatal withdrawal symptoms from maternal use of drugs of addiction

Billable / Specific Code

What is Neonatal withdrawal symptoms from maternal use of drugs of addiction?

ICD-10-CM P96.1 is the diagnosis code for Neonatal withdrawal symptoms from maternal use of drugs of addiction. This code falls under the section "Other disorders originating in the perinatal period" within Chapter 16 — Certain conditions originating in the perinatal period (P00-P96). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for P96.1

✅ This Code Includes

  • Drug withdrawal syndrome in infant of dependent mother
  • Neonatal abstinence syndrome

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as P96.1. They are mutually exclusive:

  • reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)

ICD-10-CM Code Hierarchy

Understanding where P96.1 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is P96.1 a billable ICD-10-CM code?

Yes, P96.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does P96.1 mean?

P96.1 is the ICD-10-CM diagnosis code for "Neonatal withdrawal symptoms from maternal use of drugs of addiction". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of P96.1?

The parent code of P96.1 is P96 ("Other conditions originating in the perinatal period"). P96.1 provides a more specific classification within this category.

What section is P96.1 in?

P96.1 is located in Section P90-P96 — "Other disorders originating in the perinatal period" within Chapter 16 of the ICD-10-CM Tabular List.

When should I use P96.1?

Use P96.1 when the patients documented diagnosis matches "Neonatal withdrawal symptoms from maternal use of drugs of addiction" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Neonatal withdrawal symptoms from maternal use of drugs of addiction?

The ICD-10-CM code for Neonatal withdrawal symptoms from maternal use of drugs of addiction is P96.1.

Can P96.1 be used for primary diagnosis?

Yes, P96.1 can be used as a primary diagnosis code since it is billable and specific.

What chapter is P96.1 in?

P96.1 is in Chapter 16 of the ICD-10-CM Tabular List.

What conditions are excluded from P96.1?

Type 1 Excludes for P96.1 include: reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0).

Is P96.1 valid for 2026?

Yes, P96.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousP96.0Congenital renal failureNext →P96.2Withdrawal symptoms from therapeutic use of drugs in newborn
Code Details
P96.1
Neonatal withdrawal symptoms from maternal use of drugs of addiction
Billable / Specific Code
16 — Certain conditions originating in the perinatal period (P00-P96)
P90-P96 — Other disorders originating in the perinatal period
2026 ICD-10-CM