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ICD-10 Guide
ICD-10 CodesA24.2

A24.2

Rat-bite fever

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

Code Description

ICD-10 A24.2 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 primarily by two bacteria: Streptobacillus moniliformis and Spirillum minus. It is transmitted to humans through bites or scratches from infected rats or through contact with their urine or feces. The disease is characterized by fever, rash, and joint pain, and can lead to severe complications if left untreated. The incubation period typically ranges from 3 to 10 days post-exposure. Symptoms may include high fever, chills, headache, muscle pain, and a rash that can appear on the trunk and extremities. In severe cases, it can lead to septic arthritis or endocarditis. Diagnosis is often made based on clinical presentation and history of exposure, with laboratory confirmation through blood cultures or serological tests. Treatment usually involves antibiotics, with penicillin being the drug of choice. Public health measures focus on rodent control and educating communities about the risks associated with handling rats and their environments.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between Streptobacillus and Spirillum infections
  • Need for accurate patient history regarding exposure
  • Potential for misdiagnosis with other febrile illnesses
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to document laboratory confirmation
  • Misclassification of symptoms
  • Inconsistent coding of related conditions

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with fever and a history of rodent exposure.

Billing Considerations

Ensure all symptoms and laboratory findings are documented to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom assessment.

Common Clinical Scenarios

Patients with unexplained fever and potential exposure to rodents.

Billing Considerations

Documenting travel history and potential exposure to rodents is crucial.

Coding Guidelines

Inclusion Criteria

Use A24.2 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases
  • Ensure accurate documentation of exposure and symptoms
  • Include any relevant laboratory findings to support the diagnosis

Exclusion Criteria

Do NOT use A24.2 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when confirming the diagnosis of rat-bite fever.

Documentation Requirements

Document the source of the culture and clinical indications.

Specialty Considerations

Infectious disease specialists may require additional tests.

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, improving data accuracy and facilitating better tracking of zoonotic diseases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving data accuracy and facilitating better tracking of zoonotic diseases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving data accuracy and facilitating better tracking of zoonotic diseases.

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, rash, joint pain, and in severe cases, septic arthritis or endocarditis.

How is rat-bite fever diagnosed?

Diagnosis is based on clinical presentation, history of exposure to rats, and laboratory confirmation through blood cultures or serological tests.