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P93 ICD-10-CM Code: Reactions and intoxications due to drugs administered to newborn

P93 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Other disorders originating in the perinatal period (P90-P96)

P93

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Reactions and intoxications due to drugs administered to newborn

Reactions and intoxications due to drugs administered to newborn

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
P9Other disorders originating in the perinatal period (P90-P96)
P93Reactions and intoxications due to drugs administered to newborn

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for P93 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P93 in this effective period.

Related Child Codes

Official
P93.0Grey baby syndrome
P93.8Other reactions and intoxications due to drugs administered to newborn

Includes

Official
  • reactions and intoxications due to drugs administered to fetus affecting newborn

Excludes 1

Official
  • 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)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P93 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for P93 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for P93 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
P93
Description
Reactions and intoxications due to drugs administered to newborn
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

P93 is the ICD-10-CM diagnosis code for reactions and intoxications due to drugs administered to newborn. P93 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering other disorders originating in the perinatal period (p90-p96).

Header codes like P93 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at P93's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P93 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • reactions and intoxications due to drugs administered to fetus affecting newborn

Excludes 1, Do NOT code together

  • 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)

Child Codes

Code Hierarchy

P93Reactions and intoxications due to drugs administered to newborn
P93Reactions and intoxications due to drugs administered to newborn

Work P93 in HCC Buddy

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