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v1.0.0
ICD-10 Guide
ICD-10 CodesA08.11

A08.11

Acute gastroenteropathy due to Norwalk agent

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/04/2025

Code Description

ICD-10 A08.11 is a billable code used to indicate a diagnosis of acute gastroenteropathy due to norwalk agent.

Key Diagnostic Point:

Acute gastroenteropathy caused by the Norwalk virus, characterized by sudden onset of diarrhea, vomiting, and abdominal cramps.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Viral etiology
  • Symptom management

Audit Risk Factors

    Specialty Focus

    Medical Specialties

    Infectious Disease

    Documentation Requirements

    Detailed patient history, symptom onset, and laboratory confirmation of Norwalk virus.

    Common Clinical Scenarios

    Outbreaks in community settings, individual cases with travel history.

    Billing Considerations

    Consideration of differential diagnoses and potential for co-infections.

    Coding Guidelines

    Inclusion Criteria

    Use A08.11 When
    • Use A08
    • 11 when the gastroenteropathy is confirmed to be due to Norwalk virus, ensuring all symptoms are documented

    Exclusion Criteria

    Do NOT use A08.11 When
    No specific exclusions found.

    Related CPT Codes

    87430CPT Code

    Nucleic acid detection of Norwalk virus

    Clinical Scenario

    Testing for Norwalk virus in patients with acute gastroenteritis symptoms.

    Documentation Requirements

    Document symptoms, exposure history, and rationale for testing.

    Specialty Considerations

    Consider infectious disease consultation for severe cases.

    ICD-10 Impact

    Diagnostic & Documentation Impact

    Enhanced Specificity

    ICD-10 Improvements

    Accurate coding impacts epidemiological tracking and appropriate treatment protocols.

    ICD-9 vs ICD-10

    Accurate coding impacts epidemiological tracking and appropriate treatment protocols.

    Reimbursement & Billing Impact

    Accurate coding impacts epidemiological tracking and appropriate treatment protocols.

    Resources

    Clinical References

    • •
      CDC Norovirus Fact Sheet

    Coding & Billing References

    • •
      CDC Norovirus Fact Sheet

    Frequently Asked Questions

    What are the common symptoms of Norwalk virus infection?

    Common symptoms include nausea, vomiting, diarrhea, stomach cramps, and sometimes fever.

    How is Norwalk virus transmitted?

    It is primarily transmitted through contaminated food or water, and by close contact with infected individuals.