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ICD-10 Guide
ICD-10 CodesA36.0

A36.0

Meningococcal meningitis, group A

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

Code Description

ICD-10 A36.0 is a billable code used to indicate a diagnosis of meningococcal meningitis, group a.

Key Diagnostic Point:

Meningococcal meningitis caused by Neisseria meningitidis group A is a severe bacterial infection characterized by inflammation of the protective membranes covering the brain and spinal cord. This condition is often associated with high morbidity and mortality rates, particularly in children and young adults. The infection is transmitted through respiratory droplets and can lead to rapid onset of symptoms such as fever, headache, stiff neck, and altered mental status. Early diagnosis and treatment are critical, as the disease can progress quickly to septicemia and shock. Diagnosis is typically confirmed through lumbar puncture and cerebrospinal fluid analysis, which reveals elevated white blood cell counts and the presence of bacteria. Treatment usually involves intravenous antibiotics, such as penicillin or ceftriaxone, and supportive care. Vaccination against group A meningococcal disease is an essential preventive measure, particularly in endemic regions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of meningitis (viral, bacterial, fungal)
  • Understanding the nuances of group-specific meningococcal infections
  • Need for precise documentation of clinical findings and laboratory results
  • Potential for co-infections or complications that may affect coding

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the causative organism
  • Misclassification of the type of meningitis
  • Lack of supporting lab results in the medical record

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes, lab results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with fever, neck stiffness, and altered mental status.

Billing Considerations

Ensure that all diagnostic tests and results are clearly documented to support the diagnosis.

Pediatrics

Documentation Requirements

Growth charts, vaccination history, and family history should be included.

Common Clinical Scenarios

Children with sudden onset of fever and neurological symptoms.

Billing Considerations

Consider age-specific factors and vaccination status when coding.

Coding Guidelines

Inclusion Criteria

Use A36.0 When
  • According to ICD
  • 10 guidelines, A36
  • 0 should be used when the diagnosis of meningococcal meningitis due to group A is confirmed
  • It is important to document the clinical presentation, laboratory findings, and treatment provided

Exclusion Criteria

Do NOT use A36.0 When
  • Exclude cases where the causative organism is not group A

Related CPT Codes

62270CPT Code

Lumbar puncture

Clinical Scenario

Used to obtain cerebrospinal fluid for analysis in suspected meningitis cases.

Documentation Requirements

Document indication for the procedure and results of CSF analysis.

Specialty Considerations

Infectious disease specialists should ensure that the procedure is justified based on 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 meningococcal infections, improving data accuracy and enhancing the ability to track outbreaks and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of meningococcal infections, improving data accuracy and enhancing the ability to track outbreaks and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of meningococcal infections, improving data accuracy and enhancing the ability to track outbreaks and treatment outcomes.

Resources

Clinical References

  • •
    CDC Meningococcal Disease Information

Coding & Billing References

  • •
    CDC Meningococcal Disease Information

Frequently Asked Questions

What are the common symptoms of meningococcal meningitis?

Common symptoms include sudden onset of fever, headache, stiff neck, nausea, vomiting, and altered mental status. A rash may also be present in some cases.