Question 1

Is P04 a billable ICD-10 code?

Accepted Answer

No, P04 is not a billable code. It is a category code that requires additional specificity. You must select a more specific code from the subcategories for billing purposes.

Question 2

What does ICD-10 code P04 mean?

Accepted Answer

ICD-10-CM code P04 represents Newborn affected by noxious substances transmitted via placenta or breast milk. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code P04 introduced?

Accepted Answer

Code P04 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code P04?

Accepted Answer

The parent category for P04 is section:P00-P04 (Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions should be coded separately from P04?

Accepted Answer

Code P04 has Type 2 Excludes including: 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) and 1 more conditions. These conditions are not included in P04 but can be coded together if the patient has both conditions.

P042026

Code First1Sequence another code first

Excludes29Not included here

Notes2Additional information

Includes2Included conditions

Is P04 a billable ICD-10 code?

What does ICD-10 code P04 mean?

When was ICD-10 code P04 introduced?

What is the parent category for ICD-10 code P04?

What conditions should be coded separately from P04?