Coding and coverage · ICD-10-CM

P35 Congenital viral diseases

Not billable (header)Chapter 16

Report one of the more specific codes below.

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Codes under this one

  • P35.0 Congenital rubella syndrome
  • P35.1 Congenital cytomegalovirus infection
  • P35.2 Congenital herpesviral [herpes simplex] infection
  • P35.3 Congenital viral hepatitis
  • P35.4 Congenital Zika virus disease
  • P35.8 Other congenital viral diseases
  • P35.9 Congenital viral disease, unspecified

Instructional notes

Chapter 16

Excludes2Not included here: the patient may have both; report both when both are present.
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)
Includes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Notes
  • Codes from this chapter are for use on newborn records only, never on maternal records

Section P35-P39

Excludes2Not included here: the patient may have both; report both when both are present.
  • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
  • congenital gonococcal infection (A54.-)
  • congenital pneumonia (P23.-)
  • congenital syphilis (A50.-)
  • human immunodeficiency virus [HIV] disease (B20)
  • infant botulism (A48.51)
  • infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-)
  • intestinal infectious disease (A00-A09)
  • laboratory evidence of human immunodeficiency virus [HIV] (R75)
  • tetanus neonatorum (A33)
Inclusion terms
  • Infections acquired in utero, during birth via the umbilicus, or during the first 28 days after birth

This code

Includes
  • infections acquired in utero or during birth

Chapter 16: Certain conditions originating in the perinatal period · P35-P39 Infections specific to the perinatal period (P35-P39)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.