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ICD-10 Guide
ICD-10 CodesA39.9

A39.9

Meningococcal infection, unspecified

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

Code Description

ICD-10 A39.9 is a billable code used to indicate a diagnosis of meningococcal infection, unspecified.

Key Diagnostic Point:

Meningococcal infection is caused by the bacterium Neisseria meningitidis, which can lead to serious conditions such as meningitis and septicemia. The infection is characterized by sudden onset of fever, headache, and stiff neck, often accompanied by nausea, vomiting, and sensitivity to light. In severe cases, it can progress rapidly, leading to septic shock and multi-organ failure. The unspecified designation indicates that the specific type of meningococcal infection has not been determined, which may occur in cases where the clinical presentation is ambiguous or when laboratory confirmation is pending. Meningococcal infections are particularly prevalent in crowded settings such as college dormitories and military barracks. Vaccination is a key preventive measure, and treatment typically involves intravenous antibiotics such as penicillin or ceftriaxone. Early recognition and treatment are critical to improving outcomes and reducing the risk of complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of meningococcal infections.
  • Need for laboratory confirmation which may not always be available at the time of coding.
  • Differentiation from other bacterial meningitis codes.
  • Potential for co-infection with other pathogens.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify the type of meningococcal infection.
  • Lack of laboratory confirmation in the medical record.
  • Misclassification with other types of bacterial infections.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Diagnosis and management of meningococcal infections in hospitalized patients.

Billing Considerations

Ensure that all relevant laboratory tests and results are documented to support the diagnosis.

Pediatrics

Documentation Requirements

Thorough history and physical examination notes, including vaccination status.

Common Clinical Scenarios

Presentation of meningococcal infection in children, particularly in outbreak settings.

Billing Considerations

Consider age-specific presentation and the importance of vaccination history.

Coding Guidelines

Inclusion Criteria

Use A39.9 When
  • According to ICD
  • 10 coding guidelines, A39
  • 9 should be used when the specific type of meningococcal infection is not documented
  • Coders should ensure that the documentation supports the diagnosis and that other related codes are not more appropriate

Exclusion Criteria

Do NOT use A39.9 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when cultures are taken to confirm meningococcal infection.

Documentation Requirements

Document the source of the culture and results.

Specialty Considerations

Infectious disease specialists should ensure cultures are properly documented.

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 facilitating better tracking of disease prevalence 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 facilitating better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of meningococcal infections, improving data accuracy and facilitating better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    CDC Meningococcal Disease Information

Coding & Billing References

  • •
    CDC Meningococcal Disease Information

Frequently Asked Questions

When should I use A39.9 instead of a more specific code?

A39.9 should be used when the specific type of meningococcal infection is not documented in the medical record, and further testing is pending.