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v1.0.0
ICD-10 Guide
ICD-10 CodesA44

A44

Invasive meningococcal disease

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

Code Description

ICD-10 A44 is a billable code used to indicate a diagnosis of invasive meningococcal disease.

Key Diagnostic Point:

Invasive meningococcal disease is a severe bacterial infection caused by Neisseria meningitidis, which can lead to meningitis and septicemia. This condition is characterized by the rapid onset of symptoms such as fever, headache, neck stiffness, and altered mental status. Invasive meningococcal disease can occur in healthy individuals but poses a higher risk to immunocompromised patients, including those with asplenia, complement deficiencies, or undergoing immunosuppressive therapy. The disease can progress rapidly, leading to severe complications and high mortality rates if not treated promptly. Diagnosis is often challenging due to the nonspecific nature of early symptoms and the need for lumbar puncture or blood cultures to confirm the presence of the bacteria. Vaccination is a key preventive measure, especially in high-risk populations, and timely recognition and treatment are critical to improving outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between various types of meningococcal infections.
  • Identifying immunocompromised patients who may present atypically.
  • Need for precise documentation of clinical findings and laboratory results.
  • Potential for rapid clinical deterioration requiring immediate intervention.

Audit Risk Factors

  • Inadequate documentation of clinical symptoms leading to misdiagnosis.
  • Failure to document immunocompromised status.
  • Lack of supporting laboratory results in the medical record.
  • Incorrect coding of related conditions or complications.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with fever, rash, and neurological symptoms.

Billing Considerations

Need for thorough documentation of immunocompromised status and vaccination history.

Pediatrics

Documentation Requirements

Accurate recording of vaccination status and family history.

Common Clinical Scenarios

Children presenting with sudden onset of fever and altered mental status.

Billing Considerations

Consideration of age-related presentation differences and rapid deterioration.

Coding Guidelines

Inclusion Criteria

Use A44 When
  • According to ICD
  • 10 guidelines, A44 should be used when there is confirmed invasive meningococcal disease
  • Documentation must include clinical findings, laboratory confirmation, and any relevant comorbidities
  • invasive forms of meningococcal infections

Exclusion Criteria

Do NOT use A44 When
  • Exclusion criteria include non

Related Codes

Child Codes

4 codes
A44.0
Invasive meningococcal disease
A44.1
Pulmonary actinomycosis
A44.8
Other specified bartonellosis
A44.9
Invasive meningococcal disease, unspecified

Related CPT Codes

87040CPT Code

Culture, bacterial, any source

Clinical Scenario

Used to confirm the diagnosis of invasive meningococcal disease.

Documentation Requirements

Document the source of the culture and results.

Specialty Considerations

Infectious disease specialists may require additional documentation of clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of invasive meningococcal disease, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation and understanding of the disease's complexities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of invasive meningococcal disease, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation and understanding of the disease's complexities.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation and understanding of the disease's complexities.

Resources

Clinical References

  • •
    CDC Meningococcal Disease Information

Coding & Billing References

  • •
    CDC Meningococcal Disease Information

Frequently Asked Questions

What are the common symptoms of invasive meningococcal disease?

Common symptoms include sudden onset of fever, headache, neck stiffness, nausea, vomiting, and altered mental status. A petechial or purpuric rash may also be present.