P93
P93 — Reactions and intoxications due to drugs administered to newborn
Non-billable headerICD-10-CM
P93 is a non-billable header ICD-10-CM code for reactions and intoxications due to drugs administered to newborn. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- jaundice due to drugs or toxins transmitted from mother or given to newborn (P58.4-)
- reactions and intoxications from maternal opiates, tranquilizers and other medication (P04.0-P04.1, P04.4-)
- withdrawal symptoms from maternal use of drugs of addiction (P96.1)
- withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)
Includes
Conditions this code covers.
- reactions and intoxications due to drugs administered to fetus affecting newborn
Risk adjustment
P93 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead P93
2 child codes. Green means billable.
Questions about P93
- Is P93 a billable ICD-10-CM code?
- No. P93 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P93 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Other disorders originating in the perinatal period (P90-P96).
- What cannot be coded together with P93?
- P93 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.