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v1.0.0
ICD-10 Guide
ICD-10 CodesA32.7

A32.7

Lassa fever

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

Code Description

ICD-10 A32.7 is a billable code used to indicate a diagnosis of lassa fever.

Key Diagnostic Point:

Lassa fever is an acute viral hemorrhagic illness caused by the Lassa virus, a member of the Arenaviridae family. It is endemic in parts of West Africa, particularly in Nigeria, Sierra Leone, Liberia, and Guinea. The disease is primarily transmitted to humans through contact with the urine or feces of infected Mastomys rats, which are common in these regions. Symptoms typically appear 1-3 weeks after exposure and can range from mild to severe, including fever, weakness, headaches, and gastrointestinal symptoms. In severe cases, Lassa fever can lead to hemorrhagic manifestations, multi-organ failure, and death. The case fatality rate varies but can be as high as 15% in hospitalized patients. Diagnosis is often confirmed through serological tests or PCR assays. Treatment primarily involves supportive care, and the antiviral drug ribavirin has shown efficacy if administered early in the course of the disease. Preventive measures focus on rodent control and minimizing contact with potentially infected materials.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation and severity
  • Need for specific laboratory confirmation
  • Differentiation from other viral hemorrhagic fevers
  • Geographic specificity of the disease

Audit Risk Factors

  • Inaccurate documentation of exposure history
  • Failure to document laboratory confirmation
  • Misclassification of severity of illness
  • Inadequate differentiation from similar diseases

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with fever and travel history to endemic areas.

Billing Considerations

Ensure thorough documentation of symptom onset and progression.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms, travel history, and initial lab tests.

Common Clinical Scenarios

Patients with acute febrile illness and potential exposure to Lassa virus.

Billing Considerations

Rapid identification and isolation protocols to prevent transmission.

Coding Guidelines

Inclusion Criteria

Use A32.7 When
  • Follow official ICD
  • CM guidelines for coding infectious diseases, ensuring accurate documentation of symptoms, laboratory results, and patient history
  • Include any relevant co
  • morbidities

Exclusion Criteria

Do NOT use A32.7 When
No specific exclusions found.

Related CPT Codes

87522CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); viral, amplified probe technique

Clinical Scenario

Used for confirming Lassa virus infection in symptomatic patients.

Documentation Requirements

Document the reason for testing, including symptoms and exposure history.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Lassa fever, improving data collection and epidemiological tracking of this disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Lassa fever, improving data collection and epidemiological tracking of this disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Lassa fever, improving data collection and epidemiological tracking of this disease.

Resources

Clinical References

  • •
    Centers for Disease Control and Prevention (CDC) - Lassa Fever

Coding & Billing References

  • •
    Centers for Disease Control and Prevention (CDC) - Lassa Fever

Frequently Asked Questions

What are the primary symptoms of Lassa fever?

Symptoms include fever, weakness, headaches, vomiting, and in severe cases, bleeding and multi-organ failure.

How is Lassa fever diagnosed?

Diagnosis is confirmed through serological tests or PCR assays, along with a thorough patient history.