P35.4
P35.4: Congenital Zika virus disease
Billable / specific codeICD-10-CM
P35.4 is a billable, specific ICD-10-CM code for congenital zika virus disease. It is valid for submission on a claim.
Check P35.4 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
- code to identify manifestations of congenital Zika virus disease
Other codes that can never be billed with P35.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- A92.5Zika virus disease
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Zika NOS›congenital
- Disease, diseased›Zika virus›congenital
- Infection, infected, infective›Zika virus›congenital
Code history
Unchanged in every release from FY2024 to FY2027.