MCMCB Pro
P93

P93Reactions 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.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.