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ICD-10 Guide
ICD-10 CodesA24.3

A24.3

Rat-bite fever (Streptobacillus moniliformis infection)

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

Code Description

ICD-10 A24.3 is a billable code used to indicate a diagnosis of rat-bite fever (streptobacillus moniliformis infection).

Key Diagnostic Point:

Rat-bite fever is a zoonotic infection caused by the bacterium Streptobacillus moniliformis, which is primarily transmitted to humans through bites or scratches from infected rats or contact with their urine or feces. The disease can also be contracted through ingestion of contaminated food or water. Symptoms typically manifest 3 to 10 days after exposure and may include fever, chills, headache, muscle pain, and a rash. In severe cases, complications such as endocarditis or septic arthritis may occur. Diagnosis is often made based on clinical presentation and history of exposure, with laboratory confirmation through blood cultures or serological tests. Public health measures focus on rodent control and educating communities about the risks associated with handling rodents. Effective treatment involves the use of antibiotics, such as penicillin or doxycycline, which are effective against the causative organism.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Zoonotic nature requiring understanding of transmission vectors
  • Variability in clinical presentation and symptomatology
  • Need for accurate patient history regarding exposure to rodents
  • Potential for misdiagnosis due to similarity with other febrile illnesses

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure assessment, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and a history of rodent exposure.

Billing Considerations

Ensure thorough documentation of symptoms and exposure to support coding.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom assessment.

Common Clinical Scenarios

Patients with febrile illness and potential rodent contact.

Billing Considerations

Documenting travel history and potential exposure to rodents is crucial.

Coding Guidelines

Inclusion Criteria

Use A24.3 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the patient's exposure history and clinical symptoms
  • Include any laboratory confirmation of Streptobacillus moniliformis infection

Exclusion Criteria

Do NOT use A24.3 When
No specific exclusions found.

Related CPT Codes

87040CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when confirming Streptobacillus moniliformis infection.

Documentation Requirements

Document the source of the culture and clinical symptoms.

Specialty Considerations

Infectious disease specialists may require additional details on exposure history.

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 the accuracy of epidemiological tracking and resource allocation for public health interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving the accuracy of epidemiological tracking and resource allocation for public health interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving the accuracy of epidemiological tracking and resource allocation for public health interventions.

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 rash. Symptoms typically appear 3 to 10 days after exposure.

How is rat-bite fever transmitted?

Rat-bite fever is transmitted through bites or scratches from infected rats, contact with their urine or feces, or ingestion of contaminated food or water.