2025 ICD-10-CM code P35
(Valid) Effective Date: N/A Certain conditions originating in the perinatal period - Infections specific to the perinatal period 16 Feed
Congenital viral diseases. Includes infections acquired in utero or during birth.
Medical necessity for the diagnosis and treatment of congenital viral diseases is established by the presence of clinical signs and symptoms, along with confirmatory laboratory testing.Treatment is necessary to manage symptoms and prevent long-term complications.
Diagnosing and treating congenital viral diseases in newborns.
- 16
- P00-P96 Certain conditions originating in the perinatal periodP35-P39 Infections specific to the perinatal periodP35 Congenital viral diseases
In simple words: Congenital viral diseases are infections a baby gets before or during birth.
Congenital viral diseases. Includes: infections acquired in utero or during birth.
Example 1: A newborn presents with symptoms of congenital rubella syndrome, such as cataracts, heart defects, and hearing loss. The diagnosis is confirmed with laboratory testing., A newborn is diagnosed with congenital cytomegalovirus (CMV) infection after exhibiting signs of microcephaly, seizures, and developmental delays., A baby born with skin lesions and neurological abnormalities is diagnosed with congenital herpes simplex virus (HSV) infection.
Documentation should include evidence of infection acquired in utero or during birth, such as laboratory results, physical exam findings, and imaging studies.Specific details about the type of viral infection should also be documented.
** This code is part of Chapter 16, Certain conditions originating in the perinatal period (P00-P96), and should only be used for conditions originating before birth through the 28th day after birth.Excludes congenital malformations (Q00-Q99), endocrine/nutritional/metabolic diseases (E00-E88), injuries/poisonings (S00-T88), neoplasms (C00-D49), and tetanus neonatorum (A33).
- Payment Status: Non-billable
- Specialties:Neonatology, Pediatrics, Infectious Disease
- Place of Service:Inpatient Hospital, Birthing Center