The Newborn Record Codes

  • Code: P04-
  • Description: Newborn affected by noxious substances transmitted through placenta or breast milk
  • Code: P04.3
  • Description: Newborn affected by maternal use of alcohol (excludes fetal alcohol syndrome)
  • Code: Q86.0
  • Description: Fetal alcohol syndrome (dysmorphic)

Facial Features and Other Congenital Malformations

  • Code: Q02
  • Description: Microcephaly
  • Code: Q11.2
  • Description: Microphthalmos
  • Code: Q10-Q18
  • Description: Congenital malformations of eye, ear, face, and neck
  • Code: Q38.0
  • Description: Congenital malformations of lips, not elsewhere classified
  • Code: Q75.4
  • Description: Short palpebral fissures
  • Code: Q81.1
  • Description: Short upturned nose
  • Code: Q30.9
  • Description: Congenital malformation of nose, unspecified
  • Code: Q35-Q37
  • Description: Cleft lip and cleft palate
  • Code: Q87.1
  • Description: Short stature
  • Code: Q67.4
  • Description: Maxillary hypoplasia
  • Code: R68.89
  • Description: Other general symptoms and signs (eg, dysmorphic features)


  • Code: R63.6
  • Description: Underweight
  • Code: R63.3
  • Description: Feeding difficulties
  • Code: R62.51
  • Description: Failure to thrive (child)
  • Code: R65.52
  • Description: Short stature


  • Code: R62.50
  • Description: Lack of expected normal psychological development in childhood, unspecified
  • Code: R62.0
  • Description: Delayed milestone in childhood

CNS Abnormality

  • Code: G40-
  • Description: Epilepsy and recurrent seizures
  • Code: G80-
  • Description: Cerebral Palsy
  • Code: G92
  • Description: Toxic encephalopathy
  • Code: G93.4
  • Description: Encephalopathy, other and unspecified
  • Code: G96.9
  • Description: Disorder of central nervous system, unspecified
  • Code: R27.8
  • Description: Other lack of coordination
  • Code: R27.9
  • Description: Unspecified lack of coordination
  • Code: R41.843
  • Description: Psychomotor deficit
  • Code: R41.844
  • Description: Frontal lobe and executive function deficit
  • Code: R41.89
  • Description: Other symptoms and signs involving appearance and behavior

Counseling Codes

  • Code: Z13.868
  • Description: Encounter for screening for other nervous system disorders
  • Code: Z71.89
  • Description: Other specific counseling
  • Code: Z31.5
  • Description: Encounter for genetic counseling 

Observation Codes

  • Code: Z03
  • Description: Encounter for medical observation for suspected diseases and conditions ruled out
  • Code: Z03.89
  • Description: Encounter for observation for other suspected diseases and conditions ruled out (eg, mental health)
  • Code: Z04
  • Description: Encounter for examination and observation for other reasons

Other Conditions

  • Code: R78.0
  • Description: Finding of alcohol in blood (use additional external cause code (Y90.-), for detail regarding alcohol level
  • Code:
  • Description:

ICD-10-CM Changes for 2018 (Newborn Record)

  • Code: T51.0X-
  • Description: Toxic effect of ethanol
  • Code: Delete: P91.8
  • Description: Other specified disturbances of cerebral status of newborn
  • Code: Add: P91.811
  • Description: Neonatal encephalopathy in diseases classified elsewhere
  • Code: Add: P91.819
  • Description: Neonatal encephalopathy, unspecified
  • Code: Add: P91.88
  • Description: Other specified disturbances of cerebral status of newborn
  • Code: Revise from: Z31.5
  • Description: Encounter for genetic counseling
  • Code: Revise to: Z31.5
  • Description: Encounter for procreative genetic counseling