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ICD-10 Guide
ICD-10 CodesA23.3

A23.3

Brucellosis due to Brucella melitensis

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

Code Description

ICD-10 A23.3 is a billable code used to indicate a diagnosis of brucellosis due to brucella melitensis.

Key Diagnostic Point:

Brucellosis is a zoonotic infection caused by the Brucella species, with Brucella melitensis being the most virulent strain affecting humans. This disease is primarily transmitted through the consumption of unpasteurized dairy products, direct contact with infected animals, or inhalation of aerosols from infected animal tissues. Clinically, brucellosis presents with a range of symptoms including fever, sweats, malaise, anorexia, headache, and muscle pain. In severe cases, it can lead to complications such as osteoarticular infections, endocarditis, and neurological manifestations. Diagnosis is typically confirmed through serological tests or culture of the organism from blood or other body fluids. Public health measures focus on controlling the disease in livestock, promoting pasteurization of dairy products, and educating at-risk populations about preventive measures. The disease remains a significant public health concern in many parts of the world, particularly in regions where livestock farming is prevalent and veterinary health measures are inadequate.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations that may complicate diagnosis.
  • Need for specific laboratory confirmation which may not always be available.
  • Potential for misdiagnosis with other febrile illnesses.
  • Documentation of exposure history is critical for accurate coding.

Audit Risk Factors

  • Inadequate documentation of exposure history.
  • Failure to provide laboratory confirmation.
  • Misclassification of the disease severity.
  • Inconsistent coding of related symptoms.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including exposure to livestock, travel history, and symptom onset.

Common Clinical Scenarios

Patients presenting with fever and flu-like symptoms after exposure to livestock or unpasteurized dairy.

Billing Considerations

Ensure laboratory results are documented and linked to the diagnosis.

Public Health

Documentation Requirements

Reports on outbreaks, vaccination status of livestock, and preventive measures taken.

Common Clinical Scenarios

Monitoring and managing outbreaks in communities with high livestock exposure.

Billing Considerations

Focus on community education and prevention strategies.

Coding Guidelines

Inclusion Criteria

Use A23.3 When
  • According to the ICD
  • 10 coding guidelines, A23
  • 3 should be used when the diagnosis is confirmed through laboratory testing
  • It is important to document the source of infection and any related symptoms

Exclusion Criteria

Do NOT use A23.3 When
  • Exclusion criteria include other febrile illnesses that may mimic brucellosis

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when brucellosis is suspected and cultures are needed for confirmation.

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 brucellosis, improving data accuracy and facilitating better tracking of zoonotic diseases. This specificity aids in public health reporting and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of brucellosis, improving data accuracy and facilitating better tracking of zoonotic diseases. This specificity aids in public health reporting and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of brucellosis, improving data accuracy and facilitating better tracking of zoonotic diseases. This specificity aids in public health reporting and resource allocation.

Resources

Clinical References

  • •
    CDC Brucellosis Information

Coding & Billing References

  • •
    CDC Brucellosis Information

Frequently Asked Questions

What are the common symptoms of brucellosis?

Common symptoms include fever, sweats, malaise, anorexia, headache, and muscle pain. Severe cases may lead to complications such as osteoarticular infections.