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P35.0

Billable

Congenital rubella syndrome

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

What This Code Means

A congenital infection caused by the rubella virus that a baby acquires from the mother during pregnancy, potentially causing birth defects.

Coding Tips

  • Document specific manifestations such as cataracts, cardiac defects, or hearing loss as these are common complications
  • Verify maternal rubella infection status is documented to support the congenital diagnosis

Code Hierarchy

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