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v1.0.0
ICD-10 Guide
ICD-10 CodesP37.8

P37.8

Billable

Other specified congenital infectious and parasitic diseases

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

Code Description

ICD-10 P37.8 is a billable code used to indicate a diagnosis of other specified congenital infectious and parasitic diseases.

Key Diagnostic Point:

P37.8 encompasses a range of congenital infectious and parasitic diseases that can affect newborns, including congenital tuberculosis and toxoplasmosis. Congenital tuberculosis is a rare but serious condition where the infection is transmitted from the mother to the fetus, potentially leading to severe respiratory issues and systemic illness in the newborn. Symptoms may include respiratory distress, failure to thrive, and signs of sepsis. Toxoplasmosis, caused by the parasite Toxoplasma gondii, can also be transmitted during pregnancy, leading to a variety of complications such as chorioretinitis, hydrocephalus, and intracranial calcifications. Early diagnosis and management are crucial to mitigate long-term effects. The coding of these conditions requires careful documentation of maternal history, clinical findings, and diagnostic testing to ensure accurate representation of the newborn's health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of congenital infections that may present similarly
  • Need for thorough maternal history documentation
  • Potential for overlapping symptoms with other conditions
  • Variability in clinical presentation and severity

Audit Risk Factors

  • Inadequate documentation of maternal infections
  • Failure to specify the type of congenital infection
  • Misclassification of symptoms as unrelated conditions
  • Lack of follow-up documentation on the newborn's condition

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including physical exams and laboratory results.

Common Clinical Scenarios

Newborns presenting with respiratory distress or failure to thrive, requiring differential diagnosis for congenital infections.

Billing Considerations

Accurate coding requires comprehensive documentation of maternal health and any prenatal infections.

Pediatrics

Documentation Requirements

Pediatric follow-up notes that include developmental assessments and ongoing management plans.

Common Clinical Scenarios

Pediatric evaluations of infants with suspected congenital infections, including referrals for specialty care.

Billing Considerations

Consideration of long-term effects of congenital infections on development and health outcomes.

Coding Guidelines

Inclusion Criteria

Use P37.8 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the maternal history and clinical findings
  • Specific criteria for congenital infections must be met, including laboratory confirmation where applicable

Exclusion Criteria

Do NOT use P37.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care, newborn

Clinical Scenario

Used for newborns admitted with suspected congenital infections.

Documentation Requirements

Complete history and physical examination, including maternal health.

Specialty Considerations

Neonatologists should ensure thorough documentation of clinical findings and diagnostic tests.

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. This specificity aids in better tracking of congenital conditions and their outcomes.

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. This specificity aids in better tracking of congenital conditions and their outcomes.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of congenital conditions and their outcomes.

Resources

Clinical References

  • •
    CDC Congenital Infections

Coding & Billing References

  • •
    CDC Congenital Infections

Frequently Asked Questions

What are the common congenital infections coded under P37.8?

Common congenital infections include congenital tuberculosis and toxoplasmosis, both of which require specific documentation of maternal health and clinical findings to ensure accurate coding.