Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesOther disorders originating in the perinatal periodICD-10-CM p93-reactions-and-intoxications-due-to-drugs-administered-to-newborn
    Ask Trek AI about this page

    ICD-10-CM Code For Reactions And Intoxications Due To Drugs Administered To Newborn: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P93 includes diagnoses for adverse reactions and toxic effects in the newborn resulting from drugs administered to the infant or transmitted from the mother, such as withdrawal syndromes, intoxication, and drug-induced neonatal conditions. These ICD-10-CM diagnosis codes are used to document the clinical presentation, affected organ systems, and severity of drug-related neonatal conditions, capturing complications like respiratory depression, neurologic symptoms, or metabolic disturbances. Accurate coding within the ICD-10-CM P93 group supports proper claim adjudication and reflects the care complexity for appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Reactions And Intoxications Due To Drugs Administered To Newborn: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM P93: Reactions And Intoxications Due To Drugs Administered To Newborn Overview

    This group includes newborn conditions caused by drugs given to the infant or transferred from the mother, affecting neonatal systems such as the central nervous system, respiratory system, and metabolic function. Accurate coding captures the specific reaction or intoxication and any organ involvement. Precise documentation supports appropriate reimbursement by reflecting the clinical complexity and resources used.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Assign a code from this group when a newborn presents with documented adverse effects, withdrawal symptoms, or toxic exposure attributable to maternal or neonatal drug administration. Use these codes to reflect the specific diagnosis, severity, and any associated organ system involvement documented in the medical record.

    ICD-10-CM Codes

    2 rows

    ICD-10-CM CodeDescription
    P93.0Grey baby syndrome
    P93.8Other reactions and intoxications due to drugs administered to newborn

    DRG Codes

    2 rows

    DRG CodeDescription
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems

    Typical Clinical Scenarios

    • A full-term newborn in the delivery room who develops immediate respiratory distress and cyanosis after maternal administration of opioids during labor; the neonate requires supplemental oxygen and prolonged observation for depressed respiratory effort believed to be due to drug exposure from maternal analgesia. A diagnosis from this group is assigned to indicate a reaction or intoxication in the newborn attributable to drugs given to the mother or administered around delivery. Typical codes: P93.0
    • A preterm infant in the neonatal intensive care unit who, after receiving repeated analgesic and sedative medications postoperatively, demonstrates persistent hypotonia, poor feeding, and episodes of apnea over several days; clinicians document concern for drug accumulation or delayed drug clearance causing ongoing central nervous system depression. This ongoing drug-related condition in the perinatal period is captured with a code from this group. Typical codes: P93.8
    • A term neonate presenting to the emergency department on day two of life with jitteriness, irritability, tachypnea, and tremors following in utero exposure to maternal illicit stimulant use; the infant requires monitoring and symptomatic care for withdrawal and toxicity effects attributable to perinatal drug exposure. A code from this group is used to denote a newborn reaction/intoxication due to drugs administered to the mother before or during delivery. Typical codes: P93.8

    Related Codes

    P90-CONVULSIONS-OF-NEWBORN

    ICD-10-CM Code For Convulsions Of Newborn: Group Overview

    P91-OTHER-DISTURBANCES-OF-CEREBRAL-STATUS

    ICD-10-CM Code For Other Disturbances Of Cerebral Status Of Newborn: Group Overview

    P92-FEEDING-PROBLEMS-OF-NEWBORN

    ICD-10-CM Code For Feeding Problems Of Newborn: Group Overview

    P94-DISORDERS-OF-MUSCLE-TONE

    ICD-10-CM Code For Disorders Of Muscle Tone Of Newborn: Group Overview

    P95-STILLBIRTH

    ICD-10-CM Code For Stillbirth: Group Overview

    P96-OTHER-CONDITIONS-ORIGINATING-IN-THE-PERINATAL-PERIOD

    ICD-10-CM Code For Other Conditions Originating In The Perinatal Period: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.