ICD-10 · PDGM grouping
P35-P39 — Infections specific to the perinatal period
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
34
No clinical group
3
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
31 of the 34 codes in P35-P39 group to MMTA - Other. A further 3 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in P35-P39
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in P35-P39
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| P350 | Congenital rubella syndrome | A | Can lead a claim |
| P351 | Congenital cytomegalovirus infection | A | Can lead a claim |
| P352 | Congenital herpesviral [herpes simplex] infection | A | Can lead a claim |
| P353 | Congenital viral hepatitis | A | Can lead a claim |
| P354 | Congenital Zika virus disease | A | Can lead a claim |
| P358 | Other congenital viral diseases | A | Can lead a claim |
| P359 | Congenital viral disease, unspecified | None | Cannot lead a claim |
| P360 | Sepsis of newborn due to streptococcus, group B | A | Can lead a claim |
| P3610 | Sepsis of newborn due to unspecified streptococci | A | Can lead a claim |
| P3619 | Sepsis of newborn due to other streptococci | A | Can lead a claim |
| P362 | Sepsis of newborn due to Staphylococcus aureus | A | Can lead a claim |
| P3630 | Sepsis of newborn due to unspecified staphylococci | A | Can lead a claim |
| P3639 | Sepsis of newborn due to other staphylococci | A | Can lead a claim |
| P364 | Sepsis of newborn due to Escherichia coli | A | Can lead a claim |
| P365 | Sepsis of newborn due to anaerobes | A | Can lead a claim |
| P368 | Other bacterial sepsis of newborn | A | Can lead a claim |
| P369 | Bacterial sepsis of newborn, unspecified | A | Can lead a claim |
| P370 | Congenital tuberculosis | A | Can lead a claim |
| P371 | Congenital toxoplasmosis | A | Can lead a claim |
| P372 | Neonatal (disseminated) listeriosis | A | Can lead a claim |
| P373 | Congenital falciparum malaria | A | Can lead a claim |
| P374 | Other congenital malaria | A | Can lead a claim |
| P375 | Neonatal candidiasis | A | Can lead a claim |
| P378 | Other specified congenital infectious and parasitic diseases | A | Can lead a claim |
| P379 | Congenital infectious or parasitic disease, unspecified | None | Cannot lead a claim |
| P381 | Omphalitis with mild hemorrhage | A | Can lead a claim |
| P389 | Omphalitis without hemorrhage | A | Can lead a claim |
| P390 | Neonatal infective mastitis | A | Can lead a claim |
| P391 | Neonatal conjunctivitis and dacryocystitis | A | Can lead a claim |
| P392 | Intra-amniotic infection affecting newborn, NEC | A | Can lead a claim |
| P393 | Neonatal urinary tract infection | A | Can lead a claim |
| P394 | Neonatal skin infection | A | Can lead a claim |
| P398 | Other specified infections specific to the perinatal period | A | Can lead a claim |
| P399 | Infection specific to the perinatal period, unspecified | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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