Congenital Zika Virus Disease

A new code was created to uniquely identify congenital Zika virus disease (P35.4). The Zika virus is an arthropod-borne virus spread by the bite of infected mosquitoes. The virus can be passed from the mother to the fetus via the placenta. In the United States, approximately one in ten pregnant women with Zika virus delivered infants with congenital anomalies, such as microcephaly in which head and brain development is abnormal when compared to normal infants. This new code will capture newborn infants who are infected with the virus and who may require additional resources for their care. ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is about a new ICD-10-CM diagnosis code for congenital Zika virus disease and how it fits into newborn and infant diagnosis coding scenarios. It is aimed at coders and billing professionals who need to understand the scope of the update, the clinical context, and the types of diagnosis-code combinations discussed for affected infants.

Why This Topic Matters

The topic matters because congenital Zika infection can affect newborn diagnosis coding, resource reporting, and the capture of related congenital conditions in clinical records. Understanding the update helps coding staff interpret infant documentation consistently when Zika exposure or infection is part of the record.

What You Will Learn

  • The clinical context of congenital Zika virus disease in newborns
  • How the article frames an ICD-10-CM update related to congenital infection
  • The kinds of infant diagnosis scenarios discussed in relation to Zika and microcephaly
  • Why this diagnosis topic is relevant for newborn coding and record capture

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Health information management professionals
  • Clinical documentation review staff

Codes Discussed

  • ICD-10-CM: P35.4
  • ICD-10-CM: Z38.00
  • ICD-10-CM: Q02

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