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v1.0.0
ICD-10 Guide
ICD-10 CodesA32.9

A32.9

Tularemia, unspecified

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

Code Description

ICD-10 A32.9 is a billable code used to indicate a diagnosis of tularemia, unspecified.

Key Diagnostic Point:

Tularemia is an infectious disease caused by the bacterium Francisella tularensis, which is primarily transmitted to humans through contact with infected animals, bites from infected insects, or inhalation of contaminated aerosols. The disease can present in various forms, including ulceroglandular, glandular, oculoglandular, or pneumonic, depending on the route of infection. Symptoms may include fever, chills, headache, muscle aches, and swollen lymph nodes, with the potential for severe complications if left untreated. Diagnosis is typically made through clinical evaluation and serological testing, as well as culture of the organism from infected tissues or fluids. Treatment usually involves antibiotics such as streptomycin or doxycycline, with early intervention being crucial for a favorable outcome. The unspecified nature of this code indicates that the specific form of tularemia is not documented, which may complicate treatment and management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for specific laboratory confirmation for accurate diagnosis
  • Potential for misdiagnosis with other febrile illnesses
  • Documentation of exposure history is critical

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document exposure history
  • Misclassification of tularemia type
  • Inconsistent use of unspecified codes

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, exposure history, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and lymphadenopathy after potential exposure to wildlife.

Billing Considerations

Ensure thorough documentation of symptoms and exposure to facilitate accurate coding.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom assessment.

Common Clinical Scenarios

Patients with flu-like symptoms and potential exposure to infected animals.

Billing Considerations

Documenting travel history and animal contact is crucial for accurate diagnosis.

Coding Guidelines

Inclusion Criteria

Use A32.9 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the unspecified code is used only when the specific type of tularemia is not documented
  • Include relevant clinical details to support the diagnosis

Exclusion Criteria

Do NOT use A32.9 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when laboratory confirmation of tularemia is required.

Documentation Requirements

Document the source of the culture and clinical suspicion of tularemia.

Specialty Considerations

Infectious disease specialists may require additional lab tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tularemia, improving the accuracy of diagnosis and treatment tracking. However, the unspecified code may lead to challenges in understanding the full clinical picture.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tularemia, improving the accuracy of diagnosis and treatment tracking. However, the unspecified code may lead to challenges in understanding the full clinical picture.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tularemia, improving the accuracy of diagnosis and treatment tracking. However, the unspecified code may lead to challenges in understanding the full clinical picture.

Resources

Clinical References

  • •
    CDC Tularemia Information

Coding & Billing References

  • •
    CDC Tularemia Information

Frequently Asked Questions

What is tularemia?

Tularemia is a bacterial infection caused by Francisella tularensis, which can be transmitted through contact with infected animals or insect bites.

How is tularemia diagnosed?

Diagnosis is made through clinical evaluation, serological testing, and culture of the organism from infected tissues or fluids.

What are the treatment options for tularemia?

Treatment typically involves antibiotics such as streptomycin or doxycycline, with early intervention being crucial for recovery.