2020 ICD-10-CM Diagnosis Code P35.0

Congenital rubella syndrome

    2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
  • P35.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM P35.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of P35.0 - other international versions of ICD-10 P35.0 may differ.
ICD-10-CM Coding Rules
  • P35.0 should be used on the newborn record - not on the maternal record.
Applicable To
  • Congenital rubella pneumonitis
The following code(s) above P35.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P35.0:
  • P00-P96
    2020 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    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
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • 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)
    Certain conditions originating in the perinatal period
  • P35-P39
    2020 ICD-10-CM Range P35-P39

    Infections specific to the perinatal period

    Applicable To
    • Infections acquired in utero, during birth via the umbilicus, or during the first 28 days after birth
    Type 2 Excludes
    • 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)
    Infections specific to the perinatal period
  • P35
    ICD-10-CM Diagnosis Code P35

    Congenital viral diseases

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • infections acquired in utero or during birth
    Congenital viral diseases
Clinical Information
  • Transplacental infection of the fetus with rubella usually in the first trimester of pregnancy, as a consequence of maternal infection, resulting in various developmental abnormalities in the newborn infant. They include cardiac and ocular lesions, deafness, microcephaly, mental retardation, and generalized growth retardation. (from Dorland, 27th ed)
ICD-10-CM P35.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P35.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to P35.0:
  • Code First: E08
    ICD-10-CM Diagnosis Code E08

    Diabetes mellitus due to underlying condition

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • the underlying condition, such as:
    • congenital rubella (P35.0)
    • Cushing's syndrome (E24.-)
    • cystic fibrosis (E84.-)
    • malignant neoplasm (C00-C96)
    • malnutrition (E40-E46)
    • pancreatitis and other diseases of the pancreas (K85-K86.-)
    Type 1 Excludes
    • drug or chemical induced diabetes mellitus (E09.-)
    • gestational diabetes (O24.4-)
    • neonatal diabetes mellitus (P70.2)
    • postpancreatectomy diabetes mellitus (E13.-)
    • postprocedural diabetes mellitus (E13.-)
    • secondary diabetes mellitus NEC (E13.-)
    • type 1 diabetes mellitus (E10.-)
    • type 2 diabetes mellitus (E11.-)
    Use Additional
    • code to identify control using:
    • insulin (Z79.4)
    • oral antidiabetic drugs (Z79.84)
    • oral hypoglycemic drugs (Z79.84)
  • Type 1 Excludes: B06
    , J12
    , P23.0
    ICD-10-CM Diagnosis Code B06

    Rubella [German measles]

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital rubella (P35.0)
    ICD-10-CM Diagnosis Code J12

    Viral pneumonia, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Includes
    • bronchopneumonia due to viruses other than influenza viruses
    Type 1 Excludes
    • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
    • aspiration pneumonia due to anesthesia during pregnancy (O29)
    • aspiration pneumonia due to anesthesia during puerperium (O89.0)
    • aspiration pneumonia due to solids and liquids (J69.-)
    • aspiration pneumonia NOS (J69.0)
    • congenital pneumonia (P23.0)
    • congenital rubella pneumonitis (P35.0)
    • interstitial pneumonia NOS (J84.9)
    • lipid pneumonia (J69.1)
    • neonatal aspiration pneumonia (P24.-)
    ICD-10-CM Diagnosis Code P23.0

    Congenital pneumonia due to viral agent

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • congenital rubella pneumonitis (P35.0)
    Use Additional
    • code (B97) to identify organism

Diagnosis Index entries containing back-references to P35.0:
  • Infection, infected, infective (opportunistic) B99.9
    ICD-10-CM Diagnosis Code B99.9

    Unspecified infectious disease

      2016 2017 2018 2019 2020 Billable/Specific Code
    • congenital P39.9
      ICD-10-CM Diagnosis Code P39.9

      Infection specific to the perinatal period, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
      • rubella P35.0
  • Pneumonitis (acute) (primary) - see also Pneumonia
    • congenital rubella P35.0
    • rubella, congenital P35.0
  • Rubella (German measles) B06.9
    ICD-10-CM Diagnosis Code B06.9

    Rubella without complication

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Rubella NOS
    • maternal
      • manifest rubella in infant P35.0
    • congenital P35.0
  • Syndrome - see also Disease
    • congenital
      • rubella P35.0 (manifest)
    • rubella P35.0 (congenital)

ICD-10-CM Codes Adjacent To P35.0
P29.2 Neonatal hypertension
P29.3 Persistent fetal circulation
P29.30 Pulmonary hypertension of newborn
P29.38 Other persistent fetal circulation
P29.4 Transient myocardial ischemia in newborn
P29.8 Other cardiovascular disorders originating in the perinatal period
P29.81 Cardiac arrest of newborn
P29.89 Other cardiovascular disorders originating in the perinatal period
P29.9 Cardiovascular disorder originating in the perinatal period, unspecified
P35 Congenital viral diseases
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
P36 Bacterial sepsis of newborn
P36.0 Sepsis of newborn due to streptococcus, group B
P36.1 Sepsis of newborn due to other and unspecified streptococci
P36.10 Sepsis of newborn due to unspecified streptococci

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.