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ICD-10 Guide
ICD-10 CodesA39.81

A39.81

Meningococcal encephalitis

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

Code Description

ICD-10 A39.81 is a billable code used to indicate a diagnosis of meningococcal encephalitis.

Key Diagnostic Point:

Meningococcal encephalitis is a severe neurological condition caused by the bacterium Neisseria meningitidis, which can lead to inflammation of the brain. This condition often arises as a complication of meningococcal meningitis, where the bacteria invade the central nervous system, resulting in encephalitis. Symptoms may include fever, headache, confusion, seizures, and neurological deficits. Diagnosis typically involves lumbar puncture for cerebrospinal fluid analysis, which may reveal elevated white blood cell counts, elevated protein levels, and low glucose levels. Prompt treatment is critical and usually involves intravenous antibiotics such as ceftriaxone or penicillin, along with supportive care. The prognosis can vary based on the timeliness of treatment and the severity of the infection, with potential long-term neurological sequelae in some patients. Vaccination against Neisseria meningitidis is a key preventive measure, particularly in high-risk populations.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of both meningitis and encephalitis coding.
  • Differentiation from other types of encephalitis.
  • Need for precise documentation of clinical findings.
  • Potential for co-infection with other pathogens.

Audit Risk Factors

  • Inadequate documentation of neurological symptoms.
  • Failure to specify the causative organism.
  • Misclassification of encephalitis as meningitis.
  • Lack of evidence for antibiotic treatment.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on symptoms, lab results, and treatment plans.

Common Clinical Scenarios

Patients presenting with fever, altered mental status, and signs of meningitis.

Billing Considerations

Need for clear documentation of the causative organism and treatment response.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and treatment protocols.

Common Clinical Scenarios

Patients with seizures or altered consciousness due to encephalitis.

Billing Considerations

Documentation of neurological deficits and follow-up assessments.

Coding Guidelines

Inclusion Criteria

Use A39.81 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any complications
  • Include specific details about the causative organism and clinical manifestations

Exclusion Criteria

Do NOT use A39.81 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used to confirm the presence of Neisseria meningitidis in cerebrospinal fluid.

Documentation Requirements

Document the source of the culture and results.

Specialty Considerations

Infectious disease specialists should ensure accurate reporting of culture results.

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 the accuracy of data collection and reimbursement processes. A39.81 provides a distinct code for meningococcal encephalitis, which was less clearly defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of meningococcal infections, improving the accuracy of data collection and reimbursement processes. A39.81 provides a distinct code for meningococcal encephalitis, which was less clearly defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. A39.81 provides a distinct code for meningococcal encephalitis, which was less clearly defined in ICD-9.

Resources

Clinical References

  • •
    CDC Meningococcal Disease Information

Coding & Billing References

  • •
    CDC Meningococcal Disease Information

Frequently Asked Questions

What are the common symptoms of meningococcal encephalitis?

Common symptoms include fever, severe headache, confusion, seizures, and signs of neurological impairment.

How is meningococcal encephalitis diagnosed?

Diagnosis is typically made through lumbar puncture, cerebrospinal fluid analysis, and culture to identify Neisseria meningitidis.

What is the treatment for meningococcal encephalitis?

Treatment usually involves intravenous antibiotics such as ceftriaxone or penicillin, along with supportive care.