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 CodesP37.3

P37.3

Billable

Congenital falciparum malaria

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P37.3 is a billable code used to indicate a diagnosis of congenital falciparum malaria.

Key Diagnostic Point:

Congenital falciparum malaria is a severe form of malaria caused by the Plasmodium falciparum parasite, which can be transmitted from an infected mother to her fetus during pregnancy. This condition can lead to significant morbidity and mortality in newborns, manifesting as anemia, low birth weight, and respiratory distress. The clinical presentation may vary, with some infants showing no symptoms at birth while others may develop severe illness shortly after delivery. Diagnosis is typically confirmed through blood smears or rapid diagnostic tests. Management includes supportive care and antimalarial treatment, which is crucial to prevent complications. Early identification and treatment are essential to improve outcomes for affected infants. Congenital malaria is a rare but serious condition that requires careful monitoring and intervention in the neonatal period.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between congenital and acquired malaria
  • Need for accurate maternal history documentation
  • Potential for co-infections with other congenital diseases
  • Variability in clinical presentation among newborns

Audit Risk Factors

  • Inadequate documentation of maternal malaria status
  • Failure to report co-infections
  • Misclassification of congenital versus acquired malaria
  • Lack of laboratory confirmation in medical records

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed maternal history, including malaria status and treatment during pregnancy, and newborn clinical assessments.

Common Clinical Scenarios

Infants presenting with anemia, jaundice, or respiratory distress in the NICU.

Billing Considerations

Close monitoring for complications such as hypoglycemia and the need for prompt treatment initiation.

Pediatrics

Documentation Requirements

Comprehensive follow-up documentation to monitor growth and development in infants diagnosed with congenital malaria.

Common Clinical Scenarios

Pediatric visits for infants with a history of congenital malaria presenting with developmental delays or recurrent infections.

Billing Considerations

Awareness of potential long-term effects of congenital malaria on health and development.

Coding Guidelines

Inclusion Criteria

Use P37.3 When
  • Follow the official ICD
  • 10 coding guidelines for congenital infections, ensuring accurate documentation of maternal health and laboratory findings
  • Specific criteria for congenital malaria must be met, including confirmation of maternal infection and clinical presentation in the newborn

Exclusion Criteria

Do NOT use P37.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

86761CPT Code

Malaria antibody test

Clinical Scenario

Used to confirm malaria diagnosis in newborns with suspected congenital malaria.

Documentation Requirements

Document the indication for testing and results in the medical record.

Specialty Considerations

Neonatologists should ensure that testing is performed promptly to guide treatment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malaria, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation and the differentiation between congenital and acquired cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malaria, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation and the differentiation between congenital and acquired cases.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of detailed documentation and the differentiation between congenital and acquired cases.

Resources

Clinical References

  • •
    CDC Malaria in Pregnancy

Coding & Billing References

  • •
    CDC Malaria in Pregnancy

Frequently Asked Questions

What are the key symptoms of congenital falciparum malaria in newborns?

Key symptoms include anemia, jaundice, respiratory distress, and low birth weight. Some infants may be asymptomatic at birth but can develop symptoms shortly after.