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P37.1

Billable

Congenital toxoplasmosis

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

What This Code Means

A parasitic infection caused by Toxoplasma that is passed from mother to baby before birth, potentially affecting the baby's eyes, brain, or other organs.

Coding Tips

  • This code is used only for congenital cases; acquired toxoplasmosis in older children/adults uses different codes
  • Document the specific manifestations (eye involvement, CNS involvement, etc.) if present for more complete coding

Code Hierarchy

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