ICD-10-CM Codes
P00-P96 Certain conditions originating in the perinatal period
P35-P39 Infections specific to the perinatal period
P35- Congenital viral diseases
2021 ICD-10-CM Diagnosis Code P35.4

2021 ICD-10-CM Diagnosis Code P35.4

Congenital Zika virus disease

2019 - New Code

2020

2021

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 2021 edition of ICD-10-CM P35.4 became effective on October 1, 2020.
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
2021 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
2021 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
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 v38.0):

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
2021 (effective 10/1/2020): 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
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 2021 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
- Zika virus A92.5
  ICD-10-CM Diagnosis Code A92.5
  Zika virus disease
  2017 - New Code 2018 2019 2020 2021 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
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.

2021 ICD-10-CM Diagnosis Code P35.4

Congenital Zika virus disease

Certain conditions originating in the perinatal period

Infections specific to the perinatal period

Congenital viral diseases

Zika virus disease

Zika virus disease

Unspecified infectious disease

Zika virus disease

Zika virus disease