2020 ICD-10-CM Diagnosis Code P35.4

Congenital Zika virus disease

    2019 - New Code 2020 Billable/Specific Code Code on Newborn Record
  • P35.4 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 P35.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of P35.4 - other international versions of ICD-10 P35.4 may differ.
ICD-10-CM Coding Rules
  • P35.4 should be used on the newborn record - not on the maternal record.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify manifestations of congenital Zika virus disease
The following code(s) above P35.4 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 P35.4:
  • 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
ICD-10-CM P35.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems
Code History
  • 2019 (effective 10/1/2018): New code
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to P35.4:
  • Type 1 Excludes: A92.5
    ICD-10-CM Diagnosis Code A92.5

    Zika virus disease

      2017 - New Code 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Zika virus fever
    • Zika virus infection
    • Zika NOS
    Type 1 Excludes
    • congenital Zika virus disease (P35.4)

Diagnosis Index entries containing back-references to P35.4:
  • Disease, diseased - see also Syndrome
    • Zika virus A92.5
      ICD-10-CM Diagnosis Code A92.5

      Zika virus disease

        2017 - New Code 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Zika virus fever
      • Zika virus infection
      • Zika NOS
      Type 1 Excludes
      • congenital Zika virus disease (P35.4)
      • congenital P35.4
  • Infection, infected, infective (opportunistic) B99.9
    ICD-10-CM Diagnosis Code B99.9

    Unspecified infectious disease

      2016 2017 2018 2019 2020 Billable/Specific Code
    • Zika virus A92.5
      ICD-10-CM Diagnosis Code A92.5

      Zika virus disease

        2017 - New Code 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Zika virus fever
      • Zika virus infection
      • Zika NOS
      Type 1 Excludes
      • congenital Zika virus disease (P35.4)
      • congenital P35.4
  • Zika NOS A92.5
    ICD-10-CM Diagnosis Code A92.5

    Zika virus disease

      2017 - New Code 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Zika virus fever
    • Zika virus infection
    • Zika NOS
    Type 1 Excludes
    • congenital Zika virus disease (P35.4)
    • congenital P35.4

ICD-10-CM Codes Adjacent To P35.4
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
P36.19 Sepsis of newborn due to other streptococci
P36.2 Sepsis of newborn due to Staphylococcus aureus
P36.3 Sepsis of newborn due to other and unspecified staphylococci
P36.30 Sepsis of newborn due to unspecified staphylococci

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