ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesB68.1

B68.1

Toxoplasmosis of newborn

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

Code Description

ICD-10 B68.1 is a billable code used to indicate a diagnosis of toxoplasmosis of newborn.

Key Diagnostic Point:

Toxoplasmosis of the newborn is a congenital infection caused by the parasite Toxoplasma gondii, which can be transmitted from an infected mother to her fetus during pregnancy. This condition is particularly concerning as it can lead to severe complications in the newborn, including neurological damage, chorioretinitis, and hydrocephalus. The severity of the disease can vary widely, with some infants showing no symptoms at birth while others may present with significant health issues. Diagnosis is typically made through serological testing for Toxoplasma antibodies or through imaging studies that reveal characteristic findings. Treatment often involves the use of antiparasitic medications such as pyrimethamine and sulfadiazine, which are aimed at reducing the parasitic load and preventing further complications. Early diagnosis and intervention are crucial for improving outcomes in affected infants.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between congenital and acquired toxoplasmosis.
  • Understanding the clinical manifestations that vary widely among newborns.
  • Navigating the specific documentation requirements for maternal history.
  • Identifying appropriate laboratory tests and their results.

Audit Risk Factors

  • Inadequate documentation of maternal infection status.
  • Failure to document clinical symptoms in the newborn.
  • Misclassification of the type of toxoplasmosis.
  • Lack of supporting lab results.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on symptoms, lab results, and treatment plans.

Common Clinical Scenarios

Newborns presenting with jaundice, seizures, or eye abnormalities.

Billing Considerations

Documentation must clearly indicate the timing of maternal infection and any treatment provided.

Obstetrics

Documentation Requirements

Complete maternal history, including serological testing results.

Common Clinical Scenarios

Pregnant women with known exposure to Toxoplasma or positive serology.

Billing Considerations

Accurate coding requires clear linkage between maternal and neonatal conditions.

Coding Guidelines

Inclusion Criteria

Use B68.1 When
  • According to ICD
  • 10 guidelines, B68
  • 1 should be used when the newborn has confirmed toxoplasmosis due to maternal infection
  • It is important to document the maternal history and any relevant laboratory findings

Exclusion Criteria

Do NOT use B68.1 When
  • Exclusion criteria include cases where the infection is acquired postnatally

Related CPT Codes

86777CPT Code

Toxoplasma antibody test

Clinical Scenario

Used to confirm diagnosis in newborns with suspected congenital toxoplasmosis.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Pediatricians should ensure that maternal history is included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital infections, improving the accuracy of data collection and reimbursement processes for conditions like toxoplasmosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital infections, improving the accuracy of data collection and reimbursement processes for conditions like toxoplasmosis.

Reimbursement & Billing Impact

reimbursement processes for conditions like toxoplasmosis.

Resources

Clinical References

  • •
    CDC Toxoplasmosis Information

Coding & Billing References

  • •
    CDC Toxoplasmosis Information

Frequently Asked Questions

What are the common symptoms of congenital toxoplasmosis?

Common symptoms include chorioretinitis, hydrocephalus, intracranial calcifications, and jaundice. Some infants may be asymptomatic at birth.