Non-Billable / Non-Specific Code
ICD-10-CM P04 is the diagnosis code for Newborn affected by noxious substances transmitted via placenta or breast milk. This code falls under the section "Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery" within Chapter 16 â Certain conditions originating in the perinatal period (P00-P96). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions are not included in P04. If the patient has both, code each condition separately:
Understanding where P04 sits in the ICD-10-CM classification helps ensure proper coding:
No, P04 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
P04 is the ICD-10-CM diagnosis code for "Newborn affected by noxious substances transmitted via placenta or breast milk". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
P04 is located in Section P00-P04 â "Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery" within Chapter 16 of the ICD-10-CM Tabular List.
P04 has 9 sub-code(s) that provide more specific detail: P04.0, P04.1, P04.2, P04.3, P04.4 and more.
Use P04 when the patients documented diagnosis matches "Newborn affected by noxious substances transmitted via placenta or breast milk" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Newborn affected by noxious substances transmitted via placenta or breast milk is P04.
No, P04 is non-billable. Use a more specific sub-code for primary diagnosis billing.
P04 is in Chapter 16 of the ICD-10-CM Tabular List.
Yes, P04 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.