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ICD-10 Guide
ICD-10 CodesA24.9

A24.9

Rat-bite fever, unspecified

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

Code Description

ICD-10 A24.9 is a billable code used to indicate a diagnosis of rat-bite fever, unspecified.

Key Diagnostic Point:

Rat-bite fever is a zoonotic infection caused by the bacteria Streptobacillus moniliformis or Spirillum minus, typically transmitted through bites or scratches from infected rats or contact with their secretions. The disease presents with symptoms such as fever, chills, headache, muscle pain, and rash, which can develop within a week after exposure. In some cases, complications such as endocarditis or septic arthritis may arise if left untreated. Diagnosis is primarily clinical, supported by serological tests or culture of the bacteria. The unspecified designation indicates that the specific type of rat-bite fever is not identified, which may complicate treatment and management. Public health considerations include the need for awareness of rodent control measures and the importance of educating at-risk populations about the risks associated with handling rodents or their environments. Effective prevention strategies are crucial in reducing the incidence of this disease, particularly in urban areas where rodent populations are prevalent.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms.
  • Differentiation from other zoonotic infections.
  • Need for specific documentation of exposure history.
  • Potential for complications requiring additional coding.

Audit Risk Factors

  • Inadequate documentation of exposure history.
  • Failure to specify the type of rat-bite fever.
  • Misclassification of symptoms as unrelated conditions.
  • Lack of supporting laboratory results.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with fever and a history of rodent exposure.

Billing Considerations

Consideration of differential diagnoses and potential complications.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Patients with flu-like symptoms and recent contact with rodents.

Billing Considerations

Awareness of local rodent populations and preventive measures.

Coding Guidelines

Inclusion Criteria

Use A24.9 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of symptoms, exposure history, and any laboratory findings
  • morbidities are present

Exclusion Criteria

Do NOT use A24.9 When
  • Exclude codes for other zoonotic infections unless co

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when bacterial culture is performed to confirm diagnosis.

Documentation Requirements

Document the source of the culture and clinical indications.

Specialty Considerations

Infectious disease specialists may require additional details on the patient's 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 data and enhancing public health responses to outbreaks.

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 data and enhancing public health responses to outbreaks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving the accuracy of epidemiological data and enhancing public health responses to outbreaks.

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, which can develop within a week after exposure.

How is rat-bite fever transmitted?

Rat-bite fever is transmitted through bites or scratches from infected rats or contact with their secretions.

What is the treatment for rat-bite fever?

Treatment typically involves antibiotics, and early intervention is crucial to prevent complications.