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ICD-10-CM Code P96.1
Neonatal withdrawal symptoms from maternal use of drugs of addiction

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
Newborn Only
Newborn Only
Code is only used for patients less than 1 year old.
| ICD-10 from 2011 - 2016

P96.1 is a billable ICD code used to specify a diagnosis of neonatal withdrawal symptoms from maternal use of drugs of addiction. A 'billable code' is detailed enough to be used to specify a medical diagnosis.


The ICD code P961 is used to code Neonatal withdrawal

Neonatal withdrawal or neonatal abstinence syndrome (NAS) is a withdrawal syndrome of infants, caused by the cessation of the administration of licit or illicit drugs. Tolerance, dependence, and withdrawal may occur as a result of repeated administration of drugs or even after short-term high dose use—for example during mechanical ventilation in intensive care units. There are two types of NAS: prenatal and postnatal. Prenatal NAS is caused by discontinuation of drugs taken by the pregnant mother, while postnatal NAS is caused by discontinuation of drugs directly to the infant.

MeSH Code: D009357
ICD 9 Code: 779.5
Source: Wikipedia

Coding Notes for P96.1 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Drug withdrawal syndrome in infant of dependent mother
Neonatal abstinence syndrome
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery - instead, use code P04.0

MS-DRG Mapping

  • DRG Group #793 - Full term neonate with major problems.

ICD-10-CM Alphabetical Index References for 'P96.1 - Neonatal withdrawal symptoms from maternal use of drugs of addiction'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code P96.1. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Drug withdrawal syndrome in newborn (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code P96.1 and a single ICD9 code, 779.5 is an approximate match for comparison and conversion purposes.


Parent Code: P96 - Other conditions originating in the perinatal period

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/P961