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v1.0.0
ICD-10 Guide
ICD-10 CodesB06.89

B06.89

Other rubella complications

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

Code Description

ICD-10 B06.89 is a billable code used to indicate a diagnosis of other rubella complications.

Key Diagnostic Point:

Rubella, also known as German measles, is a viral infection characterized by a distinctive rash and mild fever. While rubella is often a benign illness in children and adults, it can lead to serious complications, particularly in pregnant women and their fetuses. Other rubella complications may include thrombocytopenic purpura, encephalitis, and congenital rubella syndrome (CRS), which can result in severe birth defects. CRS can cause a range of issues, including cardiac defects, cataracts, and hearing loss. The complications associated with rubella are often preventable through vaccination, which is part of the MMR (measles, mumps, rubella) vaccine. The incidence of rubella has significantly decreased in countries with high vaccination coverage, but outbreaks can still occur, particularly in populations with low vaccination rates. Accurate coding of rubella complications is essential for proper patient management and epidemiological tracking.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between rubella and other viral infections
  • Identifying specific complications associated with rubella
  • Understanding vaccination history and its impact on coding
  • Documenting maternal and fetal health in cases of pregnancy

Audit Risk Factors

  • Inadequate documentation of rubella vaccination status
  • Failure to specify complications in clinical notes
  • Misclassification of rubella complications as other viral infections
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed vaccination history and clinical findings related to rubella complications.

Common Clinical Scenarios

Pediatric patients presenting with rash and fever, or complications following rubella infection.

Billing Considerations

Ensure accurate documentation of any congenital rubella syndrome in newborns.

Obstetrics

Documentation Requirements

Thorough documentation of maternal health, vaccination status, and fetal outcomes.

Common Clinical Scenarios

Pregnant women with suspected rubella exposure or confirmed infection.

Billing Considerations

Focus on the implications of rubella on fetal health and potential congenital defects.

Coding Guidelines

Inclusion Criteria

Use B06.89 When
  • According to ICD
  • 10 coding guidelines, B06
  • 89 should be used when documenting other complications of rubella that do not fall under more specific codes
  • It is essential to include detailed clinical documentation to support the diagnosis and any associated complications

Exclusion Criteria

Do NOT use B06.89 When
No specific exclusions found.

Related CPT Codes

90460CPT Code

Immunization administration

Clinical Scenario

Administering the MMR vaccine to prevent rubella.

Documentation Requirements

Document vaccine type, date, and patient consent.

Specialty Considerations

Pediatricians should ensure accurate vaccination records are maintained.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rubella complications, improving the accuracy of epidemiological data and patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rubella complications, improving the accuracy of epidemiological data and patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rubella complications, improving the accuracy of epidemiological data and patient management.

Resources

Clinical References

  • •
    CDC Rubella Information

Coding & Billing References

  • •
    CDC Rubella Information

Frequently Asked Questions

What are the common complications associated with rubella?

Common complications include thrombocytopenic purpura, encephalitis, and congenital rubella syndrome, which can lead to severe birth defects.