P23.0

Billable

Congenital pneumonia due to viral agent

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A lung infection in a newborn caused by a virus acquired during pregnancy or birth. This occurs when viral pathogens are transmitted from mother to baby before or during delivery.

Coding Tips

•This code is specific to viral agents; identify the specific virus if documented (such as CMV, rubella, or influenza) for more precise coding
•Remember this is a perinatal condition; patient age should be within the neonatal period (first 28 days of life)

Excludes 1 — Do NOT code together

congenital rubella pneumonitis (P35.0)

Use Additional Code

code (B97) to identify organism

Code Hierarchy

└P23Congenital pneumonia └P23.0Congenital pneumonia due to viral agent

└P23.0Congenital pneumonia due to viral agent