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2025 ICD-10-CM code P35.3

Congenital viral hepatitis is a viral infection of the liver present at birth.

Code P35.3 should only be applied to newborn records, never to maternal records.The code encompasses infections acquired in utero or during the perinatal period (up to 28 days of life).Always document the specific virus if identified to support medical necessity.

Medical necessity for coding P35.3 is established by the presence of clinical manifestations of viral hepatitis in a newborn, supported by appropriate laboratory findings that confirm liver inflammation and the presence of the virus. Treatment decisions would be based on the specific virus, the severity of liver inflammation, and the overall health of the infant.

Diagnosis and management of congenital viral hepatitis require a multidisciplinary approach involving neonatologists, pediatricians, hepatologists, and infectious disease specialists.Responsibilities include history taking (maternal and neonatal), physical examination, ordering appropriate laboratory tests (liver function tests, viral serologies, imaging studies), and initiating supportive care (management of symptoms, nutritional support).Further testing may be needed to specify the causative virus and guide treatment if indicated.

IMPORTANT:Consider other codes from the P35 category (Congenital viral diseases) depending on the specific virus identified.For example, P35.0 for congenital rubella syndrome, P35.1 for congenital cytomegalovirus infection, etc.

In simple words: This code means the baby had a viral liver infection at birth.The infection happened while the baby was still in the womb or shortly after birth. Doctors will need to do more tests to figure out which virus caused it.

Congenital viral hepatitis (P35.3) refers to viral hepatitis present at birth.This indicates that the infection was acquired in utero (during pregnancy) or during the perinatal period (birth process or the first 28 days of life).The specific virus causing the hepatitis needs further investigation and may include, but is not limited to, Hepatitis A, B, C, or other less common viruses. The diagnosis requires clinical presentation, laboratory findings indicative of liver inflammation, and potential confirmation via viral testing.

Example 1: A newborn infant presents with jaundice, elevated liver enzymes, and a positive Hepatitis B surface antigen test. This indicates congenital Hepatitis B infection. The code P35.3 is used., A mother with a history of Hepatitis C infection delivers a baby with elevated liver enzymes and hepatomegaly. Further testing confirms congenital Hepatitis C infection. The code P35.3 is used., A neonate develops elevated liver function tests several days after birth, and serological tests are inconclusive regarding specific viral infection. The diagnosis is listed as congenital viral hepatitis with further investigation planned. P35.3 is used.

Maternal history of viral infections, neonatal clinical findings (jaundice, hepatomegaly), laboratory results (liver function tests, viral serology, viral load), imaging studies (if done), treatment plan, and response to treatment.

** The use of P35.3 necessitates detailed documentation to support the diagnosis and justify medical necessity for billing purposes.Further investigation might be required to determine the specific virus and guide management. The clinical significance of the diagnosis and the associated management decisions depend highly on the viral load and subsequent liver disease.

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