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ICD-10 Guide
ICD-10 CodesA39.82

A39.82

Meningococcal retrobulbar neuritis

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

Code Description

ICD-10 A39.82 is a billable code used to indicate a diagnosis of meningococcal retrobulbar neuritis.

Key Diagnostic Point:

Meningococcal retrobulbar neuritis is an inflammatory condition affecting the optic nerve, which can occur as a complication of meningococcal infection. This condition is characterized by the presence of Neisseria meningitidis bacteria, which can lead to severe neurological manifestations. Patients may present with symptoms such as visual disturbances, pain behind the eye, and possible vision loss. The inflammation is typically due to the immune response triggered by the bacterial infection, which can lead to demyelination of the optic nerve. Diagnosis is often confirmed through clinical evaluation, imaging studies such as MRI, and lumbar puncture to analyze cerebrospinal fluid for the presence of the bacteria. Treatment protocols generally include the use of antibiotics to eradicate the infection, corticosteroids to reduce inflammation, and supportive care to manage symptoms. Early intervention is crucial to prevent permanent vision loss and other complications associated with the infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of both infectious diseases and neurological implications.
  • Differentiation from other types of neuritis can be challenging.
  • Documentation must clearly indicate the relationship between meningococcal infection and neuritis.
  • Potential for misclassification with other forms of optic neuritis.

Audit Risk Factors

  • Inadequate documentation linking the infection to the neuritis.
  • Failure to specify the type of meningococcal infection.
  • Misdiagnosis or coding errors with similar conditions.
  • Lack of clarity in treatment protocols followed.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of infection, treatment protocols, and response to therapy.

Common Clinical Scenarios

Patients presenting with systemic symptoms of meningococcal infection and subsequent neurological symptoms.

Billing Considerations

Need for clear documentation of the infectious etiology and its neurological impact.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and treatment response.

Common Clinical Scenarios

Patients with visual disturbances and pain, requiring differentiation from other causes of optic neuritis.

Billing Considerations

Documentation must reflect the neurological assessment and any changes in visual acuity.

Coding Guidelines

Inclusion Criteria

Use A39.82 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's etiology and symptoms
  • Inclusion criteria include confirmed meningococcal infection with neurological involvement

Exclusion Criteria

Do NOT use A39.82 When
  • Exclusion criteria involve other causes of retrobulbar neuritis

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits after initial diagnosis and treatment.

Documentation Requirements

Document history, examination, and medical decision-making.

Specialty Considerations

Neurology and Infectious Disease specialists should ensure thorough documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like meningococcal retrobulbar neuritis, improving data accuracy and enhancing the ability to track disease patterns and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like meningococcal retrobulbar neuritis, improving data accuracy and enhancing the ability to track disease patterns and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like meningococcal retrobulbar neuritis, improving data accuracy and enhancing the ability to track disease patterns 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 retrobulbar neuritis?

Common symptoms include visual disturbances, pain behind the eye, and possible vision loss, often following a meningococcal infection.