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ICD-10 Guide
ICD-10 CodesA21.7

A21.7

Tularaemia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A21.7 is a billable code used to indicate a diagnosis of tularaemia.

Key Diagnostic Point:

Tularaemia, also known as rabbit fever, is an infectious disease caused by the bacterium Francisella tularensis. This zoonotic infection primarily affects animals, particularly rodents, rabbits, and hares, but can be transmitted to humans through various routes. The disease is characterized by a range of clinical manifestations, including fever, chills, headaches, and muscle aches, which may progress to more severe symptoms such as pneumonia, septicemia, or ulceroglandular disease. Transmission to humans can occur through direct contact with infected animals, bites from infected insects (such as ticks and deer flies), inhalation of contaminated aerosols, or ingestion of contaminated food or water. Public health considerations are paramount, as tularaemia is classified as a potential bioterrorism agent due to its infectious nature and ability to be aerosolized. Surveillance and control measures are essential to prevent outbreaks, particularly in areas where the disease is endemic. Effective management includes prompt diagnosis, antibiotic treatment, and public education on avoiding exposure to potential vectors.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of transmission routes complicating documentation
  • Differential diagnosis with other zoonotic infections
  • Potential for severe manifestations requiring detailed coding
  • Public health reporting requirements

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to specify the clinical manifestation
  • Misclassification with similar zoonotic infections
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including exposure risks and clinical symptoms.

Common Clinical Scenarios

Patients presenting with fever and lymphadenopathy after potential exposure to wildlife.

Billing Considerations

Ensure all clinical manifestations are documented to support the diagnosis.

Public Health

Documentation Requirements

Reports on outbreaks, exposure incidents, and epidemiological data.

Common Clinical Scenarios

Investigation of clusters of tularaemia cases in specific geographic areas.

Billing Considerations

Focus on surveillance data and prevention strategies.

Coding Guidelines

Inclusion Criteria

Use A21.7 When
  • Follow official ICD
  • 10 coding guidelines for infectious diseases, ensuring specificity in documentation
  • Include details on transmission routes and clinical manifestations

Exclusion Criteria

Do NOT use A21.7 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when confirming a diagnosis of tularaemia.

Documentation Requirements

Document the source of the culture and clinical suspicion.

Specialty Considerations

Infectious disease specialists should ensure proper specimen handling.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tularaemia, improving the accuracy of epidemiological tracking and public health reporting.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tularaemia, improving the accuracy of epidemiological tracking and public health reporting.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tularaemia, improving the accuracy of epidemiological tracking and public health reporting.

Resources

Clinical References

  • •
    Centers for Disease Control and Prevention - Tularemia

Coding & Billing References

  • •
    Centers for Disease Control and Prevention - Tularemia

Frequently Asked Questions

What are the common symptoms of tularaemia?

Common symptoms include fever, chills, headaches, muscle aches, and swollen lymph nodes. Severe cases may present with pneumonia or septicemia.