P37.4 — Other congenital malaria
Is P37.4 billable?
Yes — P37.4 is billable for FY2027. P37.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. P37.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
P37.4 at a glance
| Code | P37.4 |
|---|---|
| Description | Other congenital malaria |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does P37.4 group to?
P37.4 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 791Prematurity with Major Problemsmedical
As a secondary diagnosis, P37.4 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is P37.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to P37.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Malaria, malarial › congenital NEC (fever)
- Infection, infected, infective › congenital › malaria NEC (opportunistic)
Excludes2 — not included here — inherited from Chapter 16
The conditions below are not part of P37.4, but a patient may have both at the same time. When documentation supports it, P37.4 and the excluded code may both be reported.
Excludes2 — not included here — inherited from P35-P39
The conditions below are not part of P37.4, but a patient may have both at the same time. When documentation supports it, P37.4 and the excluded code may both be reported.
- asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
- congenital gonococcal infection (A54.-)
- congenital pneumonia (P23.-)
- congenital syphilis (A50.-)
- human immunodeficiency virus [HIV] disease (B20)
- infant botulism (A48.51)
- infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-)
- intestinal infectious disease (A00-A09)
- laboratory evidence of human immunodeficiency virus [HIV] (R75)
- tetanus neonatorum (A33)
Excludes2 — not included here — inherited from P37
The conditions below are not part of P37.4, but a patient may have both at the same time. When documentation supports it, P37.4 and the excluded code may both be reported.
How long has P37.4 existed?
P37.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.