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v1.0.0
ICD-10 Guide
ICD-10 CodesA44.9

A44.9

Invasive meningococcal disease, unspecified

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

Code Description

ICD-10 A44.9 is a billable code used to indicate a diagnosis of invasive meningococcal disease, unspecified.

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 particularly dangerous as it can progress rapidly, leading to significant morbidity and mortality. The unspecified designation indicates that the specific manifestation of the disease is not detailed, which can complicate diagnosis and treatment. Invasive meningococcal disease is more prevalent in certain populations, including infants, adolescents, and individuals with compromised immune systems. The disease can present with symptoms such as fever, headache, stiff neck, and a petechial rash. In immunocompromised patients, the clinical presentation may be atypical, making diagnosis challenging. Rapid identification and treatment are crucial, as the disease can lead to severe complications, including organ failure and death. Vaccination is a key preventive measure, particularly for at-risk populations, but breakthrough infections can still occur, necessitating vigilant monitoring and prompt intervention.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation, especially in immunocompromised patients.
  • Need for precise documentation of symptoms and laboratory findings.
  • Differentiation from other similar infections (e.g., viral meningitis).
  • Potential for rapid deterioration requiring immediate coding decisions.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify the type of meningococcal disease.
  • Misalignment between diagnosis and treatment provided.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with fever, rash, and neurological symptoms.

Billing Considerations

Documentation must clearly indicate the severity and type of infection to support coding.

Pediatrics

Documentation Requirements

Thorough history and physical examination notes, vaccination status, and family history.

Common Clinical Scenarios

Infants and children presenting with acute febrile illness and signs of meningitis.

Billing Considerations

Consideration of age-related factors and vaccination history is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use A44.9 When
  • According to the ICD
  • CM coding guidelines, A44
  • 9 should be used when the specific type of invasive meningococcal disease is not documented
  • Coders must ensure that the diagnosis is supported by clinical findings and laboratory results

Exclusion Criteria

Do NOT use A44.9 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when a culture is taken to confirm the presence of Neisseria meningitidis.

Documentation Requirements

Document the source of the culture and the clinical indication for testing.

Specialty Considerations

Infectious disease specialists should ensure that cultures are properly labeled and processed.

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, but the unspecified code A44.9 remains complex due to the need for thorough documentation and clinical correlation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of invasive meningococcal disease, but the unspecified code A44.9 remains complex due to the need for thorough documentation and clinical correlation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of invasive meningococcal disease, but the unspecified code A44.9 remains complex due to the need for thorough documentation and clinical correlation.

Resources

Clinical References

  • •
    CDC Meningococcal Disease Information

Coding & Billing References

  • •
    CDC Meningococcal Disease Information

Frequently Asked Questions

What should I document to support the use of A44.9?

Document all clinical findings, including symptoms, laboratory results, and any treatments administered. Ensure that the clinical picture supports the diagnosis of invasive meningococcal disease.