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P35.4

Billable

Congenital Zika virus disease

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 Zika virus transmitted from mother to baby during pregnancy, which can cause birth defects including microcephaly.

Coding Tips

  • •Document specific manifestations such as microcephaly, eye abnormalities, or joint contractures
  • •Verify maternal Zika exposure or infection is documented during pregnancy to support the diagnosis

Use Additional Code

  • code to identify manifestations of congenital Zika virus disease

Code Hierarchy

└P35Congenital viral diseases└P35.4Congenital Zika virus disease
└P35.4Congenital Zika virus disease

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