Rubella [German measles]
In Viral infections characterized by skin and mucous membrane lesions (B00-B09), chapter 1: Certain Infectious and Parasitic Diseases
8 billable codes under B06: 1 is an MCC, 6 are a CC; 1 map to HCC 92 (Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
- congenital rubella (P35.0)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding infections and parasitic diseases, including HIV, organism and drug resistance codes, sepsis and septic shock, MRSA, Zika, and COVID-19.
- Human Immunodeficiency Virus (HIV) Infections (page 19)
- Infectious agents as the cause of diseases classified to other chapters (page 22)
- Infections resistant to antibiotics (page 22)
- Sepsis, Severe Sepsis, and Septic Shock (page 23)
- Methicillin Resistant Staphylococcus aureus (MRSA) Conditions (page 27)
- Zika virus infections (page 28)
- Coronavirus infections (page 28)
All codes under B06
B06 can't be used on a claim. Pick a billable code below; grey headings group them.
- B06.0Rubella with neurological complications
- B06.00Rubella with neurological complication, unspecified
- B06.01Rubella encephalitis
- B06.02Rubella meningitis
- B06.09Other neurological complications of rubella
- B06.8Rubella with other complications
- B06.81Rubella pneumonia
- B06.82Rubella arthritis
- B06.89Other rubella complications
- B06.9Rubella without complication
B06 MS-DRGs
As the principal diagnosis, the billable codes under B06 group to these 11 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 791 Prematurity with Major Problems (7 of 8 codes)
- DRG 793 Full Term Neonate with Major Problems (7 of 8 codes)
- DRG 097 Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC (3 of 8 codes)
- DRG 098 Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC (3 of 8 codes)
- DRG 099 Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC (3 of 8 codes)
- DRG 865 Viral Illness with MCC (3 of 8 codes)
- DRG 866 Viral Illness without MCC (3 of 8 codes)
- DRG 073 Cranial and Peripheral Nerve Disorders with MCC (1 of 8 codes)
- DRG 074 Cranial and Peripheral Nerve Disorders without MCC (1 of 8 codes)
- DRG 553 Bone Diseases and Arthropathies with MCC (1 of 8 codes)
- DRG 554 Bone Diseases and Arthropathies without MCC (1 of 8 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Rubella
Rubella is an infection caused by a virus. It is usually mild with fever and a rash. About half of the people who get rubella do not have symptoms. If you do get them, symptoms may include:
Read more about rubella on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
