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v1.0.0
ICD-10 Guide
ICD-10 CodesA27

A27

Leptospirosis

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

Code Description

ICD-10 A27 is a billable code used to indicate a diagnosis of 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 the urine of infected animals or through contaminated water or soil. Common reservoirs include rodents, livestock, and wildlife. Symptoms can range from mild flu-like signs to severe illness, including jaundice, renal failure, and hemorrhagic manifestations. The disease is often underdiagnosed due to its nonspecific symptoms, which can mimic other febrile illnesses. Diagnosis is typically confirmed through serological testing or PCR. Public health considerations are significant, as outbreaks can occur in areas with poor sanitation and flooding, highlighting the need for effective surveillance and control measures. Vaccination of at-risk populations, such as agricultural workers and veterinarians, is recommended to prevent infection. Awareness of transmission routes and preventive measures is crucial in managing leptospirosis outbreaks.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations ranging from mild to severe
  • Potential for misdiagnosis due to symptom overlap with other diseases
  • Need for specific laboratory confirmation for accurate diagnosis
  • Zoonotic nature requiring understanding of animal exposure history

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to document laboratory confirmation
  • Misclassification of severity of illness
  • Lack of detailed symptom description

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including exposure to animals and environmental factors, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever, myalgia, and jaundice after exposure to potentially contaminated water.

Billing Considerations

Ensure all laboratory tests are documented, including serology and PCR results.

Public Health

Documentation Requirements

Surveillance data, outbreak reports, and vaccination records.

Common Clinical Scenarios

Investigation of clusters of leptospirosis cases in a community following flooding.

Billing Considerations

Document environmental factors and community health interventions.

Coding Guidelines

Inclusion Criteria

Use A27 When
  • Follow official ICD
  • 10 guidelines for coding infectious diseases
  • Leptospirosis should be coded based on the severity and any associated complications
  • Ensure to document the specific strain if known

Exclusion Criteria

Do NOT use A27 When
No specific exclusions found.

Related Codes

Child Codes

5 codes
A27.0
Leptospirosis Weil's disease
A27.8
Leptospirosis due to other serovars of Leptospira
A27.81
Aseptic meningitis in leptospirosis
A27.89
Other forms of leptospirosis
A27.9
Leptospirosis, unspecified

Related CPT Codes

87081CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when leptospirosis is suspected and cultures are taken.

Documentation Requirements

Document the source of the culture and clinical suspicion.

Specialty Considerations

Infectious disease specialists should ensure proper specimen handling.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of leptospirosis, improving the ability to track and manage outbreaks and complications associated with the disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of leptospirosis, improving the ability to track and manage outbreaks and complications associated with the disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of leptospirosis, improving the ability to track and manage outbreaks and complications associated with the disease.

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, myalgia, headache, jaundice, and in severe cases, renal failure and hemorrhagic manifestations.

How is leptospirosis diagnosed?

Diagnosis is typically made through clinical evaluation, exposure history, and laboratory tests such as serology or PCR.