2025 ICD-10-CM code P35.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Infections specific to the perinatal period - Congenital viral diseases Chapter 17: Certain conditions originating in the perinatal period (P00-P96) Feed
Congenital rubella syndrome is a condition caused by the mother's rubella infection during pregnancy, resulting in damage to the fetus.
The medical necessity of coding P35.0 is established by the presence of clinical findings consistent with congenital rubella syndrome, confirmed by appropriate diagnostic testing or maternal history of rubella during pregnancy.The condition requires specialized care and ongoing monitoring due to potential long-term complications.
Obstetricians, neonatologists, and pediatricians are primarily responsible for the diagnosis, management, and follow-up care of infants with congenital rubella syndrome.Depending on the specific complications, other specialists such as ophthalmologists, cardiologists, and audiologists may be involved.
- Chapter 17: Certain conditions originating in the perinatal period (P00-P96)
- P35 (Congenital viral diseases)
In simple words: Congenital rubella syndrome is a group of birth defects caused by a mother's rubella infection while pregnant. It can affect a baby's hearing, heart, eyes, and brain development. The severity depends on when the mother was infected during pregnancy.
Congenital rubella syndrome (CRS) is a group of birth defects that occur when a pregnant woman is infected with the rubella virus. The infection can damage the developing fetus, leading to a range of health problems, including hearing loss, heart defects, eye problems (cataracts), and intellectual disability.The severity of CRS varies greatly depending on the timing and extent of the maternal infection during pregnancy.Diagnosis is usually made through a combination of clinical findings and laboratory tests, including serological testing to detect rubella-specific antibodies.Treatment is largely supportive and focuses on managing the individual's specific symptoms and complications.
Example 1: A pregnant woman contracts rubella in her first trimester.Her newborn presents with sensorineural hearing loss, cataracts, and patent ductus arteriosus.Code P35.0 is used to bill for the diagnosis and management of congenital rubella syndrome., A newborn is diagnosed with congenital rubella syndrome manifesting as mild thrombocytopenia and hepatosplenomegaly. Code P35.0 is assigned.The physician carefully monitors the infant's condition for any further signs of complications., A mother who had rubella during her pregnancy gives birth to a baby who exhibits no symptoms at birth but is later diagnosed with cognitive impairment and developmental delay suggestive of congenital rubella syndrome.The diagnosis code P35.0 is used for billing and tracking purposes.
Detailed maternal prenatal history including rubella serology results;complete physical examination of the newborn;appropriate investigations such as hearing tests, ophthalmological examination, echocardiogram, and developmental assessment.
** This code is used to represent the overall diagnosis of congenital rubella syndrome.Further codes may be required to specify any associated congenital anomalies or complications.
- Payment Status: Active
- Specialties:Obstetrics, Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office