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v1.0.0
ICD-10 Guide
ICD-10 CodesB06.09

B06.09

Other neurological complications of rubella

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B06.09 is a billable code used to indicate a diagnosis of other neurological complications of rubella.

Key Diagnostic Point:

Rubella, also known as German measles, is a viral infection that can lead to serious complications, particularly in pregnant women and their fetuses. Neurological complications associated with rubella can include encephalitis, meningitis, and other central nervous system disorders. These complications may arise due to the direct effects of the rubella virus on the nervous system or as a result of the immune response to the infection. Symptoms can vary widely, ranging from mild neurological deficits to severe conditions such as seizures or developmental delays. The risk of these complications is particularly heightened in congenital rubella syndrome, where the virus affects the developing fetus, leading to a range of neurological and developmental issues. Vaccination against rubella is a critical preventive measure, as the MMR (measles, mumps, rubella) vaccine has significantly reduced the incidence of rubella and its associated complications. However, in cases where rubella infection occurs, especially in unvaccinated populations, the potential for neurological complications remains a significant concern.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various neurological complications
  • Understanding the relationship between rubella and congenital conditions
  • Documentation of clinical symptoms and their severity
  • Knowledge of vaccination history and its impact on coding

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to link complications to rubella infection
  • Misclassification of rubella-related conditions
  • Lack of vaccination history documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of rubella infection, vaccination status, and neurological assessments.

Common Clinical Scenarios

Children presenting with developmental delays or seizures following rubella infection.

Billing Considerations

Consideration of congenital rubella syndrome in infants and the need for multidisciplinary evaluations.

Neurology

Documentation Requirements

Comprehensive neurological evaluations, imaging studies, and detailed symptom descriptions.

Common Clinical Scenarios

Patients with encephalitis or other neurological deficits post-rubella infection.

Billing Considerations

Need for clear documentation of neurological assessments and potential differential diagnoses.

Coding Guidelines

Inclusion Criteria

Use B06.09 When
  • According to ICD
  • 10 guidelines, B06
  • 09 should be used when documenting neurological complications that are not classified elsewhere
  • It is essential to ensure that the rubella infection is confirmed and that the neurological symptoms are clearly documented

Exclusion Criteria

Do NOT use B06.09 When
No specific exclusions found.

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with neurological complications post-rubella.

Documentation Requirements

Detailed history, examination findings, and treatment plan.

Specialty Considerations

Pediatricians and neurologists should ensure thorough documentation of neurological assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rubella-related complications, improving the accuracy of data collection and reimbursement processes. B06.09 provides a distinct code for neurological complications, which was less clearly defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rubella-related complications, improving the accuracy of data collection and reimbursement processes. B06.09 provides a distinct code for neurological complications, which was less clearly defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. B06.09 provides a distinct code for neurological complications, which was less clearly defined in ICD-9.

Resources

Clinical References

  • •
    CDC Rubella Information

Coding & Billing References

  • •
    CDC Rubella Information

Frequently Asked Questions

What are the common neurological complications associated with rubella?

Common neurological complications include encephalitis, meningitis, and developmental delays, particularly in cases of congenital rubella syndrome.