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ICD-10 Guide
ICD-10 CodesA71.9

A71.9

Trichinellosis, unspecified

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

Code Description

ICD-10 A71.9 is a billable code used to indicate a diagnosis of trichinellosis, unspecified.

Key Diagnostic Point:

Trichinellosis is a parasitic disease caused by the ingestion of larvae of the Trichinella species, typically through undercooked or raw meat, particularly pork. The disease is characterized by a range of symptoms that can vary in severity, including gastrointestinal disturbances such as diarrhea, abdominal pain, and nausea, followed by systemic manifestations like fever, muscle pain, and swelling of the face and eyes. In severe cases, trichinellosis can lead to complications such as myocarditis, encephalitis, and respiratory distress due to the migration of larvae to various tissues. The unspecified designation indicates that the specific type of trichinellosis or the severity of the infection has not been determined. Diagnosis is typically made through clinical evaluation, serological tests, and muscle biopsy. Treatment primarily involves the use of antiparasitic medications, such as albendazole or mebendazole, along with supportive care for symptomatic relief.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for accurate documentation of exposure history
  • Differentiation from other parasitic infections
  • Potential for co-infections that complicate diagnosis

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to specify the type of Trichinella infection
  • Misdiagnosis due to overlapping symptoms with other conditions
  • Lack of supporting laboratory test results

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including dietary habits and exposure to undercooked meats, along with laboratory test results.

Common Clinical Scenarios

Patients presenting with gastrointestinal symptoms followed by systemic manifestations after consuming undercooked pork.

Billing Considerations

Consideration of co-infections and the need for comprehensive testing to rule out other parasitic diseases.

Gastroenterology

Documentation Requirements

Thorough documentation of gastrointestinal symptoms and any relevant imaging or endoscopic findings.

Common Clinical Scenarios

Patients with unexplained gastrointestinal symptoms and a history of potential exposure to Trichinella.

Billing Considerations

Differentiating from other gastrointestinal infections and ensuring accurate coding based on symptomatology.

Coding Guidelines

Inclusion Criteria

Use A71.9 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of symptoms, exposure history, and laboratory findings
  • Include any relevant co
  • morbid conditions that may affect treatment

Exclusion Criteria

Do NOT use A71.9 When
No specific exclusions found.

Related CPT Codes

86762CPT Code

Antibody test for Trichinella

Clinical Scenario

Used when serological testing is performed to confirm diagnosis.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists may order this test more frequently.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of trichinellosis, improving the accuracy of data collection and reimbursement processes. The unspecified code A71.9 provides flexibility but requires careful documentation to avoid audit risks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of trichinellosis, improving the accuracy of data collection and reimbursement processes. The unspecified code A71.9 provides flexibility but requires careful documentation to avoid audit risks.

Reimbursement & Billing Impact

reimbursement processes. The unspecified code A71.9 provides flexibility but requires careful documentation to avoid audit risks.

Resources

Clinical References

  • •
    CDC Trichinellosis Information

Coding & Billing References

  • •
    CDC Trichinellosis Information

Frequently Asked Questions

What are the common symptoms of trichinellosis?

Common symptoms include gastrointestinal issues such as diarrhea and abdominal pain, followed by systemic symptoms like fever, muscle pain, and swelling.

How is trichinellosis diagnosed?

Diagnosis is typically made through clinical evaluation, serological tests, and muscle biopsy to confirm the presence of Trichinella larvae.

What is the treatment for trichinellosis?

Treatment usually involves antiparasitic medications such as albendazole or mebendazole, along with supportive care for symptoms.

Can trichinellosis be prevented?

Prevention includes cooking meat to safe temperatures and avoiding consumption of undercooked or raw pork.