P35.0
P35.0: Congenital rubella syndrome
Billable / specific codeICD-10-CM
P35.0 is a billable, specific ICD-10-CM code for congenital rubella syndrome. It is valid for submission on a claim.
Check P35.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Congenital rubella pneumonitis
Other codes that can never be billed with P35.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
P35.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
- A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Alphabetic index entries that lead here
- Pneumonitis›congenital rubella
- Pneumonitis›rubella, congenital
- Rubella›congenital
- Syndrome›rubella(congenital)
- Infection, infected, infective›congenital›rubella
- Rubella›maternal›manifest rubella in infant
- Syndrome›congenital›rubella(manifest)
Code history
Unchanged in every release from FY2024 to FY2027.