icd 10 code for neonatal substance exposure

What are the ICD-10 codes for drug use in newborns?

not present Neuroactive Substance ICD-10 Diagnostic Codes* for Newborns wi ... Alcohol P04.3: Newborn affected by maternal use ... Cocaine P04.41: Newborn affected by maternal use ... Phencyclidine P04.42: Newborn affected by maternal use ... Other Drugs P04.49: Newborn affected by maternal use ... 9 more rows ...

What is the ICD 10 code for maternal exposure to chemicals?

Newborn affected by maternal exposure to environmental chemical substances “Newborn aff by maternal exposure to environ chemical substnc” for short Billable Code P04.6 is a valid billable ICD-10 diagnosis code for Newborn affected by maternal exposure to environmental chemical substances.

How accurate are newborn exposure codes for substance-exposed newborns?

For identifying substance-exposed newborns across the three exposure scenarios, the newborn exposure codes had higher sensitivity (range = 31%–61%) than did maternal drug dependence codes (range = 16%–41%), but both sets of codes had high PPV (≥74%).

What is the ICD 10 code for exposure to environmental chemicals?

P04.6 is a valid billable ICD-10 diagnosis code for Newborn affected by maternal exposure to environmental chemical substances . It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 .

What is the ICD-10 code for intrauterine drug exposure?

How is NAS coded? The current ICD-10 code* for NAS is P96. 1, Neonatal withdrawal symptoms from maternal use of drugs of addiction.

What is a substance exposed newborn?

Substance Exposed Newborns are infants affected by prenatal exposure to substances such as prescribed medications, alcohol, illicit drugs and tobacco.

What is the ICD code for substance abuse?

Other psychoactive substance abuse, uncomplicated F19. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F19. 10 became effective on October 1, 2021.

What is the ICD-10 code for neonatal abstinence syndrome?

The 10th Edition of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) code for NAS is P96. 1, defined as neonatal withdrawal symptoms from maternal use of drugs of addiction.

What is prenatal substance abuse?

Abstract. Prenatal substance use is a critical public health concern that is linked with several harmful maternal and fetal consequences. The most frequently used substance in pregnancy is tobacco, followed by alcohol, cannabis and other illicit substances.

What is a drug baby?

A baby whose mother used certain drugs while pregnant may suffer from long-term problems due to growth failure or birth defects involving the brain, heart, kidneys, or intestines.

What is substance use disorder?

Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home.

Is substance abuse in the DSM-5?

Substance use disorder in DSM-5 combines the DSM-IV categories of substance abuse and substance dependence into a single disorder measured on a continuum from mild to severe.

What are risk factors for neonatal abstinence syndrome?

Who is at risk for neonatal abstinence syndrome? Pregnant women who use drugs, smoke, or drink alcohol put their unborn babies at risk for neonatal abstinence syndrome and other problems. Women who use drugs also may be less likely to get prenatal care. This can also increase the risks for both mother and baby.

What is the ICD-10 code for premature birth?

P07.3ICD-10 code P07. 3 for Preterm [premature] newborn [other] is a medical classification as listed by WHO under the range - Certain conditions originating in the perinatal period .

What is the ICD-10 code for detox?

Other psychoactive substance use, unspecified with withdrawal, unspecified. F19. 939 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F19.

What is P04.9 code?

P04.9 should be used on the newborn record - not on the maternal record. The following code (s) above P04.9 contain annotation back-references. Annotation Back-References. In this context, annotation back-references refer to codes that contain: Applicable To annotations, or. Code Also annotations, or.

What is the P04.41?

P04.41 Newborn affected by maternal use of cocaine. P04.42 Newborn affected by maternal use of hallucinogens. P04.49 Newborn affected by maternal use of other drugs of addiction. P04.5 Newborn affected by maternal use of nutritional chemical substances.

What is the ICd 10 code for NAS?

State surveillance definitions of NAS vary widely across the United States ( 8 ). Most states use only P96.1 (withdrawal) for identifying NAS because P04.49 is primarily used to identify substance-exposed newborns ( 8 ). A recent Tennessee study using ICD-10-CM codes found a high PPV (98%) for P96.1 to identify NAS caused by opioids ( 9 ), consistent with the findings (92%) of this evaluation. In Massachusetts, codes for exposure (P04.49) or withdrawal (P96.1) might yield the most sensitive estimates for identifying infants with NAS, but P96.1 alone better identifies infants who indeed have NAS because of its higher PPV; however, PPV varies by population prevalence.

What are the three exposure scenarios?

Three substance exposure scenarios were assessed: 1) exposure to opioids, 2) exposure to opioids or benzodiazepines, and 3) exposure to opioids , benzodiazepines, barbiturates, amphetamines, cocaine, hallucinogens, or marijuana (i.e., any controlled substance).

What is the ICD-10 code for infants affected by maternal use of controlled substances?

P04.49: Infant affected by maternal use of Controlled Substances). These ICD-10 codes can include opioids

What is NAS in a neonatal?

Neonatal Opioid Withdrawal Syndrome (NOWS)– While NAS is often caused by exposure to opioids, it can be . caused by exposure to other substances. Although NOWS refers to the same constellation of symptoms as . NAS, NOWS differs in that it is specifically caused by exposure to opioids.