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v1.0.0
ICD-10 Guide
ICD-10 CodesB06.00

B06.00

Rubella with neurological complication, unspecified

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

Code Description

ICD-10 B06.00 is a billable code used to indicate a diagnosis of rubella with neurological complication, unspecified.

Key Diagnostic Point:

Rubella, also known as German measles, is a contagious viral infection characterized by a distinctive rash and mild fever. While rubella is generally a mild illness in children and adults, it can lead to serious complications, particularly in pregnant women, where it can cause congenital rubella syndrome. Neurological complications associated with rubella can include encephalitis, meningitis, and other central nervous system disorders. These complications may manifest as seizures, developmental delays, or other neurological deficits. The unspecified nature of this code indicates that the specific type of neurological complication is not detailed, which can complicate treatment and management. Accurate coding is essential for tracking the incidence of rubella and its complications, guiding public health responses, and ensuring appropriate reimbursement for healthcare services.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of neurological complications.
  • Need for detailed documentation to specify the type of neurological complication.
  • Potential overlap with other viral infections that cause similar symptoms.
  • Differentiation from other rubella-related codes.

Audit Risk Factors

  • Inadequate documentation of neurological symptoms.
  • Failure to link the diagnosis with appropriate clinical findings.
  • Misclassification of rubella complications with other viral infections.
  • Lack of vaccination history documentation.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of vaccination status, clinical findings, and neurological assessments.

Common Clinical Scenarios

Children presenting with rash and fever, followed by neurological symptoms.

Billing Considerations

Consideration of maternal rubella vaccination status and potential congenital rubella syndrome.

Neurology

Documentation Requirements

Comprehensive neurological evaluation and documentation of specific complications.

Common Clinical Scenarios

Patients with confirmed rubella presenting with seizures or developmental delays.

Billing Considerations

Need for collaboration with pediatricians to ensure accurate coding of complications.

Coding Guidelines

Inclusion Criteria

Use B06.00 When
  • According to ICD
  • 10 coding guidelines, B06
  • 00 should be used when a patient has a confirmed diagnosis of rubella with unspecified neurological complications
  • Coders must ensure that documentation supports the diagnosis and that other potential causes of neurological symptoms are ruled out

Exclusion Criteria

Do NOT use B06.00 When
No specific exclusions found.

Related CPT Codes

90460CPT Code

Immunization administration

Clinical Scenario

When administering rubella vaccine to prevent complications.

Documentation Requirements

Record vaccination date and type.

Specialty Considerations

Pediatricians should ensure accurate documentation of vaccination status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rubella and its complications, improving data accuracy and facilitating better public health tracking. B06.00 provides a clear distinction for cases with neurological involvement, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rubella and its complications, improving data accuracy and facilitating better public health tracking. B06.00 provides a clear distinction for cases with neurological involvement, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rubella and its complications, improving data accuracy and facilitating better public health tracking. B06.00 provides a clear distinction for cases with neurological involvement, which was less 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 seizures. These can lead to long-term developmental issues.