ICD-10 P93
Non-Billable HeaderReactions and intoxications due to drugs administered to newborn
About ICD-10-CM P93
ICD-10-CM code P93 represents Reactions and intoxications due to drugs administered to newborn. This is a non-billable header code in the Perinatal Period chapter (block P93). The 2026 edition of ICD-10-CM P93 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with P93. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- 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
- reactions and intoxications due to drugs administered to fetus affecting newborn
Medicare LCD Coverage for P93
Local Coverage Determinations (LCDs) from CMS MACs that list P93 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P93.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P93 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P93
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To P93
Other codes in section P90-P96 (Other disorders originating in the perinatal period).
ICD-10 P93, Billing FAQ
Is ICD-10 code P93 billable? +
No, P93 is a non-billable header code. Use a more specific child code from block P93 when submitting claims.
What codes are Type 1 Excludes for P93? +
Type 1 Excludes (never code together with P93): 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)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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