P35.3 — Congenital viral hepatitis
P35.3 is a billable, specific ICD-10-CM code for congenital viral hepatitis. It is valid for submission on a claim.
Other codes that can never be billed with P35.3
These codes carry an Excludes1 note pointing at P35.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P35.3 alone.
- P59.2Neonatal jaundice from other and unspecified hepatocellular damage
Risk adjustment
P35.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
P35.3 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
How P35.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P35.3.
- Hepatitis›viral, virus›congenital
- Infection, infected, infective›congenital›hepatitis, viral
Related codes at this level
Codes that share P35. If P35.3 is not quite right, the correct code is usually one of these.
Questions about P35.3
- Is P35.3 a billable ICD-10-CM code?
- Yes. P35.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P35.3 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Infections specific to the perinatal period (P35-P39).