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ICD-10 Guide
ICD-10 CodesA27.8

A27.8

Leptospirosis due to other serovars of Leptospira

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

Code Description

ICD-10 A27.8 is a billable code used to indicate a diagnosis of leptospirosis due to other serovars of leptospira.

Key Diagnostic Point:

Leptospirosis is a zoonotic infection caused by the spirochete bacteria of the genus Leptospira. This specific code, A27.8, refers to cases of leptospirosis that are attributed to serovars other than the most commonly recognized ones, such as Leptospira interrogans. The disease is primarily transmitted to humans through contact with water, soil, or food contaminated with the urine of infected animals, particularly rodents, livestock, and wildlife. Symptoms can range from mild flu-like signs to severe illness, including jaundice, renal failure, and hemorrhagic manifestations. Diagnosis is typically made through serological testing or PCR methods. Public health considerations are significant, as leptospirosis is often associated with flooding and poor sanitation, making it a concern in both urban and rural settings. Preventive measures include controlling rodent populations, improving sanitation, and educating at-risk populations about the risks of exposure.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of serovars complicating diagnosis and treatment.
  • Overlap with other zoonotic infections in clinical presentation.
  • Need for specific laboratory confirmation for accurate coding.
  • Potential for misclassification with other infectious diseases.

Audit Risk Factors

  • Inadequate documentation of serovar identification.
  • Misdiagnosis due to overlapping symptoms with other infections.
  • Failure to document exposure history or risk factors.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure risk assessment, and laboratory results.

Common Clinical Scenarios

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

Billing Considerations

Ensure serovar identification is documented to support accurate coding.

Public Health

Documentation Requirements

Epidemiological data on outbreaks, environmental exposure assessments.

Common Clinical Scenarios

Outbreak investigations in communities following flooding events.

Billing Considerations

Documenting community exposure risks and preventive measures taken.

Coding Guidelines

Inclusion Criteria

Use A27.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the serovar involved

Exclusion Criteria

Do NOT use A27.8 When
  • Exclude cases where the serovar is known to be Leptospira interrogans, which should be coded under A27

Related CPT Codes

87081CPT Code

Culture for Leptospira

Clinical Scenario

Used when leptospirosis is suspected and serovar identification is needed.

Documentation Requirements

Document the clinical suspicion and rationale for culture.

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, enabling better tracking of outbreaks and serovar identification, which is crucial for public health management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of leptospirosis, enabling better tracking of outbreaks and serovar identification, which is crucial for public health management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of leptospirosis, enabling better tracking of outbreaks and serovar identification, which is crucial for public health management.

Resources

Clinical References

  • •
    CDC Leptospirosis Information

Coding & Billing References

  • •
    CDC Leptospirosis Information

Frequently Asked Questions

What is the significance of identifying the serovar in leptospirosis?

Identifying the serovar is crucial for understanding the source of infection, guiding treatment, and implementing public health measures to prevent outbreaks.