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ICD-10 Guide
ICD-10 CodesA36.2

A36.2

Meningococcal meningitis, unspecified

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

Code Description

ICD-10 A36.2 is a billable code used to indicate a diagnosis of meningococcal meningitis, unspecified.

Key Diagnostic Point:

Meningococcal meningitis is an acute inflammation of the protective membranes covering the brain and spinal cord, caused by the bacterium Neisseria meningitidis. This condition can lead to severe complications, including neurological damage and death if not treated promptly. The unspecified designation indicates that the specific serogroup or strain of Neisseria meningitidis is not identified. Symptoms typically include fever, headache, stiff neck, nausea, vomiting, and altered mental status. Diagnosis is primarily through lumbar puncture and cerebrospinal fluid analysis, which may reveal elevated white blood cell counts, increased protein levels, and decreased glucose levels. Treatment involves immediate administration of intravenous antibiotics, such as ceftriaxone or penicillin, and supportive care. Vaccination against meningococcal disease is crucial for prevention, especially in high-risk populations. Understanding the nuances of this condition is essential for accurate coding and effective patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of meningitis (viral, bacterial, fungal)
  • Identifying the specific strain of Neisseria meningitidis when applicable
  • Understanding the clinical presentation and diagnostic criteria
  • Navigating treatment protocols and potential complications

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of meningitis when known
  • Lack of supporting evidence for treatment decisions
  • Misclassification of the condition as viral instead of bacterial

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory 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 relevant laboratory findings are included to support the diagnosis.

Neurology

Documentation Requirements

Neurological examination findings and imaging results should be documented.

Common Clinical Scenarios

Patients with neurological deficits following meningitis.

Billing Considerations

Document any long-term neurological sequelae for accurate coding.

Coding Guidelines

Inclusion Criteria

Use A36.2 When
  • According to ICD
  • 10 guidelines, A36
  • 2 should be used when the specific type of meningococcal meningitis is not specified
  • Coders must ensure that the diagnosis is supported by clinical documentation and laboratory findings

Exclusion Criteria

Do NOT use A36.2 When
No specific exclusions found.

Related CPT Codes

62270CPT Code

Lumbar puncture

Clinical Scenario

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

Documentation Requirements

Document the indication for the procedure and the findings from the CSF analysis.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of meningitis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of meningococcal meningitis, improving the accuracy of data collection and reimbursement processes. A36.2 provides a way to capture cases where the specific serogroup is not identified, which was less clear in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of meningococcal meningitis, improving the accuracy of data collection and reimbursement processes. A36.2 provides a way to capture cases where the specific serogroup is not identified, which was less clear in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. A36.2 provides a way to capture cases where the specific serogroup is not identified, which was less clear in ICD-9.

Resources

Clinical References

  • •
    CDC Meningococcal Disease Information

Coding & Billing References

  • •
    CDC Meningococcal Disease Information

Frequently Asked Questions

What is the difference between A36.2 and A39.0?

A36.2 is used for unspecified meningococcal meningitis, while A39.0 is used when the meningococcal meningitis is due to Neisseria meningitidis but the serogroup is not specified. Both codes indicate a bacterial cause, but A39.0 is more specific in its classification.