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2025 ICD-10-CM code P37.9

Congenital infectious or parasitic disease, unspecified.

This code should only be used for newborn records and never on maternal records.It should not be used if a more specific code is available.Excludes2 notes specify conditions that are not coded with P37.9, such as congenital syphilis (A50.-) and tetanus neonatorum (A33).

The medical necessity for using this code is based on the presence of clinical findings suggestive of a congenital infection, especially when the specific pathogen or parasite is unknown. The code facilitates the initiation of appropriate investigations and potential treatment while a definitive diagnosis is being pursued.It should be replaced by a more specific code as soon as the causative agent is confirmed.

The diagnosis of congenital infections is typically made by pediatricians or neonatologists.They are responsible for ordering appropriate tests and initiating treatment.

In simple words: This code represents an unspecified infectious or parasitic disease that is present at birth.

Congenital infectious or parasitic disease, unspecified.

Example 1: A newborn presents with symptoms suggestive of an infection, but the specific pathogen cannot be immediately identified.The physician may use this code until further testing confirms a definitive diagnosis., A baby is born with signs of congenital infection, including fever, lethargy, and poor feeding.Initial laboratory tests are inconclusive, so P37.9 is assigned as a temporary diagnosis., A newborn exhibits symptoms consistent with a congenital parasitic infection, but the specific parasite has not yet been confirmed through diagnostic tests.P37.9 can be used until the specific diagnosis is identified.

Documentation should include any signs, symptoms, and laboratory results suggesting a congenital infection.If imaging studies or other diagnostic tests are performed, their findings should also be documented.If the infection is eventually identified, this should be noted in the record, and the code updated accordingly.

** This code is used when a newborn exhibits signs or symptoms of a congenital infection or parasitic disease, but the specific etiology is not yet identified.It is a temporary code used until a more definitive diagnosis is confirmed through further testing. Once the causative agent is known, the code should be updated to reflect the specific infection.

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