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ICD-10 Guide
ICD-10 CodesA66.7

A66.7

Yaws of bones

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

Code Description

ICD-10 A66.7 is a billable code used to indicate a diagnosis of yaws of bones.

Key Diagnostic Point:

Yaws is a chronic infectious disease caused by the spirochete Treponema pallidum pertenue, primarily affecting the skin, bones, and cartilage. Yaws of bones specifically refers to the involvement of the skeletal system, where the disease can lead to painful bone lesions, deformities, and potential disability if left untreated. The disease is endemic in tropical regions, particularly in parts of Africa, Southeast Asia, and the Pacific Islands. Transmission occurs through direct skin contact with infected lesions, making it more prevalent in communities with poor sanitation and limited access to healthcare. Clinical manifestations include bone pain, swelling, and tenderness, often accompanied by skin lesions. Diagnosis is typically made through clinical evaluation and serological tests. Treatment involves the administration of antibiotics, primarily benzathine penicillin, which is effective in eradicating the infection and preventing further complications. Early diagnosis and treatment are crucial to prevent long-term sequelae, including chronic bone deformities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of spirochetal diseases and their manifestations.
  • Differentiation from other bone conditions and infections.
  • Knowledge of endemic regions and risk factors for accurate coding.
  • Potential for misclassification with other treponemal infections.

Audit Risk Factors

  • Inadequate documentation of clinical findings related to bone involvement.
  • Failure to document the endemic nature of the disease.
  • Misdiagnosis or coding of similar conditions.
  • Lack of follow-up documentation post-treatment.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic bone pain and skin lesions in endemic areas.

Billing Considerations

Ensure serological test results are included in the medical record.

Orthopedics

Documentation Requirements

Radiological findings and surgical notes if bone deformities are present.

Common Clinical Scenarios

Patients with bone deformities or chronic pain due to yaws.

Billing Considerations

Document the relationship between yaws and orthopedic complications.

Coding Guidelines

Inclusion Criteria

Use A66.7 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases
  • Ensure that the documentation supports the diagnosis of yaws specifically affecting the bones, and include any relevant serological test results

Exclusion Criteria

Do NOT use A66.7 When
No specific exclusions found.

Related CPT Codes

86592CPT Code

Syphilis serology

Clinical Scenario

Used to confirm diagnosis of yaws through serological testing.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of yaws and its complications, improving data accuracy and facilitating better public health tracking of the disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of yaws and its complications, improving data accuracy and facilitating better public health tracking of the disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of yaws and its complications, improving data accuracy and facilitating better public health tracking of the disease.

Resources

Clinical References

  • •
    World Health Organization - Yaws

Coding & Billing References

  • •
    World Health Organization - Yaws

Frequently Asked Questions

What is the primary cause of yaws?

Yaws is caused by the spirochete Treponema pallidum pertenue, which is transmitted through direct contact with infected lesions.