P04.15
P04.15 — Newborn affected by maternal use of antidepressants
Billable / specific codeICD-10-CM
P04.15 is a billable, specific ICD-10-CM code for newborn affected by maternal use of antidepressants. It is valid for submission on a claim.
Risk adjustment
P04.15 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
How P04.15 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P04.15.
- Newborn›affected by›maternal›antidepressants
Related codes at this level
Codes that share P04.1. If P04.15 is not quite right, the correct code is usually one of these.
- P04.11Newborn affected by maternal antineoplastic chemotherapy
- P04.12Newborn affected by maternal cytotoxic drugs
- P04.13Newborn affected by maternal use of anticonvulsants
- P04.14Newborn affected by maternal use of opiates
- P04.16Newborn affected by maternal use of amphetamines
- P04.17Newborn affected by maternal use of sedative-hypnotics
- P04.1ANewborn affected by maternal use of anxiolytics
- P04.18Newborn affected by other maternal medication
- P04.19Newborn affected by maternal use of unspecified medication
Questions about P04.15
- Is P04.15 a billable ICD-10-CM code?
- Yes. P04.15 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P04.15 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04).