P96.1 – Neonatal withdrawal symptoms from maternal use of drugs of addiction
ICD-10-CM 2027 diagnosis code · Other disorders originating in the perinatal period
ICD-10-CM code
P96.1
- Code
P96.1(claims format:P961)- Description
- Neonatal withdrawal symptoms from maternal use of drugs of addiction
- Short description
- Neonatal w/drawal symp from matern use of drugs of addiction
- Billable
- Yes – valid for HIPAA-covered transactions
- Valid for
- Dates of service October 1, 2026 – September 30, 2027 (FY2027)
- Chapter
- 16. Certain conditions originating in the perinatal period (P00-P96)
- Block
- P90-P96 Other disorders originating in the perinatal period
- Parent codes
- P96
Notes for P96.1
Applicable to:
- Drug withdrawal syndrome in infant of dependent mother
- Neonatal abstinence syndrome
Excludes1 (not coded here):
- reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)
Index terms for P96.1
Entries in the ICD-10-CM alphabetic index that lead to this code:
- Newborn, abstinence syndrome
- Syndrome, neonatal abstinence
- Syndrome, abstinence, neonatal
- Abstinence symptoms, syndrome, neonatal
- Reaction, drug NEC, withdrawal, newborn
- Newborn, affected by, neonatal abstinence syndrome
- Syndrome, drug withdrawal, infant of dependent mother
- Withdrawal state, newborn, infant of dependent mother
- Syndrome, withdrawal, drug, infant of dependent mother
- Reaction, drug NEC, withdrawal, infant of dependent mother
- Dependence, drug NEC, cocaine, withdrawal symptoms in newborn
Related codes in P96
- P96.0 – Congenital renal failureBillable
- P96.2 – Withdrawal symptoms from therapeutic use of drugs in newbornBillable
- P96.3 – Wide cranial sutures of newbornBillable
- P96.5 – Complication to newborn due to (fetal) intrauterine procedureBillable
- P96.8 – Other specified conditions originating in the perinatal periodHeader
- P96.9 – Condition originating in the perinatal period, unspecifiedBillable
Frequently asked questions
What is ICD-10 code P96.1?
P96.1 is the ICD-10-CM code for neonatal withdrawal symptoms from maternal use of drugs of addiction, in the block P90-P96 (Other disorders originating in the perinatal period).
Is P96.1 a billable code?
Yes. P96.1 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.
What category does P96.1 belong to?
It belongs to category P96 – Other conditions originating in the perinatal period.
Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.