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v1.0.0
ICD-10 Guide
ICD-10 CodesA39.0

A39.0

Meningococcal meningitis

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

Code Description

ICD-10 A39.0 is a billable code used to indicate a diagnosis of meningococcal meningitis.

Key Diagnostic Point:

Meningococcal meningitis is a severe bacterial infection of the protective membranes covering the brain and spinal cord, caused by Neisseria meningitidis. This condition is characterized by the rapid onset of symptoms such as fever, headache, stiff neck, nausea, vomiting, and altered mental status. Meningococcal meningitis can lead to serious complications, including septicemia, hearing loss, and neurological damage. The disease is transmitted through respiratory droplets and is particularly prevalent in crowded settings such as college dormitories and military barracks. Diagnosis is typically confirmed through lumbar puncture and cerebrospinal fluid analysis, which reveals an elevated white blood cell count, elevated protein levels, and decreased glucose levels. Prompt treatment with intravenous antibiotics, such as ceftriaxone or penicillin, is critical to improve outcomes and reduce mortality. Vaccination against Neisseria meningitidis is an effective preventive measure, especially in high-risk populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from viral meningitis
  • Need for precise documentation of symptoms and treatment
  • Potential for co-infection with other pathogens
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document laboratory results
  • Misclassification of the type of meningitis
  • Lack of clarity in treatment protocols

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory results, and treatment protocols must be documented.

Common Clinical Scenarios

Diagnosis and management of meningococcal infections, including outbreak response.

Billing Considerations

Ensure accurate documentation of vaccination status and exposure history.

Neurology

Documentation Requirements

Neurological examination findings and imaging results should be included.

Common Clinical Scenarios

Evaluation of neurological deficits following meningitis.

Billing Considerations

Document any long-term sequelae or complications resulting from the infection.

Coding Guidelines

Inclusion Criteria

Use A39.0 When
  • According to ICD
  • 10 guidelines, A39
  • 0 should be used when the diagnosis is confirmed by laboratory testing
  • It is important to document the specific type of meningitis and any complications that arise

Exclusion Criteria

Do NOT use A39.0 When
No specific exclusions found.

Related CPT Codes

62270CPT Code

Lumbar puncture

Clinical Scenario

Used to obtain CSF for analysis in suspected meningitis cases.

Documentation Requirements

Document indication for procedure and findings.

Specialty Considerations

Neurology and Infectious Disease specialists should ensure thorough documentation of CSF analysis.

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 data accuracy and enhancing the ability to track disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of meningococcal meningitis, improving data accuracy and enhancing the ability to track disease prevalence 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.