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v1.0.0
ICD-10 Guide
ICD-10 CodesA26.8

A26.8

Other specified leptospirosis

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

Code Description

ICD-10 A26.8 is a billable code used to indicate a diagnosis of other specified leptospirosis.

Key Diagnostic Point:

Leptospirosis is a bacterial infection caused by spirochetes of the genus Leptospira. It is primarily a zoonotic disease, meaning it is transmitted from animals to humans. The infection can occur through direct contact with infected animals or indirectly through contaminated water or soil. Symptoms can range from mild flu-like signs to severe illness, including liver damage, kidney failure, meningitis, or respiratory distress. The 'Other specified leptospirosis' code (A26.8) is used when the specific type of leptospirosis is not classified elsewhere in the ICD-10 coding system. This code encompasses various clinical presentations that do not fit into the more common categories of leptospirosis, allowing for accurate documentation of less typical cases. Public health considerations are significant, as outbreaks can occur in areas with poor sanitation or during flooding, highlighting the need for effective surveillance and preventive measures. Understanding the transmission vectors, which include rodents, livestock, and wildlife, is crucial for controlling the spread of this infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations that may not be well-documented.
  • Need for precise identification of the source of infection.
  • Differentiation from other zoonotic infections.
  • Potential for co-infection with other diseases.

Audit Risk Factors

  • Inadequate documentation of clinical symptoms.
  • Failure to specify the source of infection.
  • Misclassification of leptospirosis severity.
  • Lack of supporting laboratory results.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory results, and exposure history.

Common Clinical Scenarios

Patients presenting with fever, myalgia, and a history of exposure to contaminated water.

Billing Considerations

Ensure all relevant symptoms and exposure risks are documented to support the diagnosis.

Public Health

Documentation Requirements

Epidemiological data and outbreak reports.

Common Clinical Scenarios

Monitoring and reporting cases during outbreaks in specific communities.

Billing Considerations

Collaboration with local health departments for accurate reporting and tracking.

Coding Guidelines

Inclusion Criteria

Use A26.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the clinical presentation and any relevant laboratory findings

Exclusion Criteria

Do NOT use A26.8 When
  • Exclude codes for other specified leptospirosis when a more specific diagnosis is available

Related CPT Codes

87081CPT Code

Leptospira serology

Clinical Scenario

When testing for leptospirosis in suspected cases.

Documentation Requirements

Document the clinical suspicion and exposure history.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of leptospirosis, enabling better tracking of cases and improved public health responses. A26.8 provides flexibility for cases that do not fit neatly into other categories, enhancing the granularity of data collected.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of leptospirosis, enabling better tracking of cases and improved public health responses. A26.8 provides flexibility for cases that do not fit neatly into other categories, enhancing the granularity of data collected.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of leptospirosis, enabling better tracking of cases and improved public health responses. A26.8 provides flexibility for cases that do not fit neatly into other categories, enhancing the granularity of data collected.

Resources

Clinical References

  • •
    CDC Leptospirosis Information

Coding & Billing References

  • •
    CDC Leptospirosis Information

Frequently Asked Questions

What are the common symptoms of leptospirosis?

Common symptoms include fever, chills, muscle aches, vomiting, jaundice, and abdominal pain. Severe cases may lead to kidney damage, liver failure, or respiratory distress.

How is leptospirosis transmitted?

Leptospirosis is primarily transmitted through contact with water or soil contaminated with the urine of infected animals, particularly rodents. Direct contact with infected animals can also lead to transmission.