P04.3

ICD-10-CM Coding Rules

• P04.3

Approximate Synonyms

• Newborn affected by maternal alcohol use

Clinical Information

• A condition occurring in fetus or newborn due to in utero ethanol exposure when mother consumed alcohol during pregnancy. It is characterized by a cluster of irreversible birth defects including abnormalities in physical, mental, and behavior development such as fetal growth retardation; mental retardation; attention deficit and disruptive behavior disorders) with varied degree of severity in an individual.

• A syndrome that can develop in infants whose mothers consumed alcohol during pregnancy. Manifestations of this syndrome include low birth weight, failure to thrive, developmental defects, organ dysfunction, mental deficiencies, behavioral problems and poor motor coordination.

• Alcohol can harm your baby at any stage during a pregnancy. That includes the earliest stages before you even know you are pregnant. Drinking alcohol can cause a group of conditions called fetal alcohol spectrum disorders fasds).effects can include physical and behavioral problems such as trouble with

• Developmental abnormalities in infants born to alcoholic mothers, including characteristic facial appearance microcephaly, maxillary hypoplasia, short palpebral fissures, and short upturned nose), growth deficiency, delayed intellectual development, motor retardation, joint abnormalities, poor coordination, and irritability. The pattern of abnormalities varies and may include additional oral, ocular, cardiac, urogenital, cutaneous, and other abnormalities.

• Disorder occurring in children born to alcoholic women who continue to drink heavily during pregnancy; common abnormalities are growth deficiency prenatal and postnatal), altered morphogenesis, mental deficiency, and characteristic facies – small eyes and flattened nasal bridge; fine motor dysfunction and tremulousness are observed in the newborn.

Details

• P04.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

• The 2023 edition of ICD-10-CM P04.3 became effective on October 1, 2022.

• This is the American ICD-10-CM version of P04.3 – other international versions of ICD-10 P04.3 may differ.