P35.2
Congenital herpesviral [herpes simplex] infection
Clinical Classification Guidelines
Medical Intelligence & Overview
Congenital herpesviral infection, classified under ICD-10 code P35.2, is a condition where a newborn is infected with the herpes simplex virus (HSV) during pregnancy, childbirth, or immediately after birth. This infection can lead to serious health issues in infants, including neurological damage and skin lesions. Recognizing the causes, symptoms, and diagnostic methods is essential for understanding this condition, although treatment should always be directed by healthcare professionals.
Causes & Symptoms
Clinical Causes: Transmission of herpes simplex virus from mother to baby during delivery, particularly if the mother has active genital herpes lesions at the time of childbirth. Intrauterine transmission during pregnancy if the mother becomes infected with HSV during pregnancy. Contact with herpetic sores or fluids during delivery or after birth.
Key Symptoms: Skin, eye, or mouth lesions appearing as blisters or sores at or shortly after birth. Fever and irritability in the newborn. Lethargy or decreased activity. Poor feeding and weight loss. Neurological symptoms such as seizures, irritability, or difficulty feeding in severe cases. Potential signs of widespread infection affecting organs like the liver, lungs, or brain.
Diagnostic & Treatment
Diagnosis Path: Diagnosis of congenital herpesviral infection involves a combination of clinical assessment and laboratory tests. These may include:
Treatment Protocols: Treatment options for infants with congenital herpesvirus infection typically involve antiviral medications, most often acyclovir. Early intervention can help reduce complications and improve outcomes. Supportive care may include:
Clinical Advice & FAQs
Billing Guidance
Is P35.2 a billable ICD-10 code?
Yes, P35.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report P35.2?
Clinical documentation must specify the nature of Congenital herpesviral [herpes simplex] infection and any associated comorbidities for accurate reporting.
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