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ICD-10 Guide
ICD-10 CodesA24

A24

Rat-bite fever

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

Code Description

ICD-10 A24 is a billable code used to indicate a diagnosis of rat-bite fever.

Key Diagnostic Point:

Rat-bite fever is a zoonotic infectious disease caused by two different bacteria: Streptobacillus moniliformis and Spirillum minus. It is primarily transmitted to humans through bites or scratches from infected rats, or through contact with contaminated food or water. The disease is characterized by fever, chills, headache, muscle pain, and sometimes a rash. In severe cases, it can lead to complications such as endocarditis or septic arthritis. The incubation period typically ranges from 2 to 10 days after exposure. Diagnosis is often made based on clinical symptoms and history of exposure, with laboratory confirmation through blood cultures or serological tests. Public health considerations are significant, as rat-bite fever is more prevalent in areas with poor sanitation and high rodent populations. Preventive measures include rodent control and public education about the risks associated with handling rats or consuming contaminated food. Awareness of this disease is crucial for healthcare providers, especially in endemic regions, to ensure timely diagnosis and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between the two causative organisms (S. moniliformis and S. minus)
  • Potential for misdiagnosis due to overlapping symptoms with other febrile illnesses
  • Need for specific documentation of exposure history
  • Variability in clinical presentation among different patient populations

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to include laboratory confirmation in the medical record
  • Misclassification of symptoms leading to incorrect coding
  • Lack of specificity in the diagnosis (e.g., not specifying the causative organism)

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including exposure to rodents, clinical symptoms, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and a history of rodent exposure.

Billing Considerations

Ensure that laboratory results are clearly documented to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Patients with unexplained fever and potential exposure to rats.

Billing Considerations

Educate patients on the importance of reporting rodent exposure.

Coding Guidelines

Inclusion Criteria

Use A24 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of exposure and symptoms
  • Include any relevant laboratory findings to support the diagnosis

Exclusion Criteria

Do NOT use A24 When
No specific exclusions found.

Related Codes

Child Codes

5 codes
A24.0
Rat-bite fever (Streptobacillus moniliformis infection)
A24.1
Botulism due to Clostridium botulinum
A24.2
Rat-bite fever
A24.3
Rat-bite fever (Streptobacillus moniliformis infection)
A24.9
Rat-bite fever, unspecified

Related CPT Codes

87040CPT Code

Culture, bacterial, any source

Clinical Scenario

Used to confirm diagnosis of rat-bite fever.

Documentation Requirements

Document the source of the culture and clinical symptoms.

Specialty Considerations

Infectious disease specialists should ensure cultures are taken from appropriate sites.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, enabling better tracking of the disease and its epidemiology.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, enabling better tracking of the disease and its epidemiology.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, enabling better tracking of the disease and its epidemiology.

Resources

Clinical References

  • •
    CDC - Rat-Bite Fever

Coding & Billing References

  • •
    CDC - Rat-Bite Fever

Frequently Asked Questions

What are the common symptoms of rat-bite fever?

Common symptoms include fever, chills, headache, muscle pain, and sometimes a rash. Severe cases may lead to complications such as endocarditis.