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v1.0.0
ICD-10 Guide
ICD-10 CodesA78

A78

Q fever

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

Code Description

ICD-10 A78 is a billable code used to indicate a diagnosis of q fever.

Key Diagnostic Point:

Q fever is an infectious disease caused by the bacterium Coxiella burnetii, which is primarily transmitted to humans through inhalation of contaminated aerosols from infected animals, particularly livestock such as cattle, sheep, and goats. The disease can manifest in acute and chronic forms, with acute Q fever presenting as a flu-like illness characterized by fever, chills, fatigue, and muscle aches, often accompanied by pneumonia or hepatitis. Chronic Q fever, although less common, can lead to serious complications such as endocarditis. Diagnosis is typically made through serological testing for specific antibodies against C. burnetii. The disease is notable for its potential to be asymptomatic, complicating both diagnosis and reporting. Q fever is classified as a zoonotic disease, emphasizing the importance of understanding its transmission dynamics, particularly in agricultural settings. Travel-related infections may arise in individuals exposed to infected animals or contaminated environments, making awareness of Q fever crucial for travelers visiting endemic areas. Effective public health measures, including vaccination of livestock and proper handling of animal products, are essential for prevention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied clinical presentation (acute vs. chronic)
  • Potential for asymptomatic cases
  • Need for serological confirmation
  • Differentiation from other febrile illnesses

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to specify acute vs. chronic Q fever
  • Misdiagnosis with other febrile illnesses
  • Lack of serological test results in the medical record

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including exposure risks, symptom onset, and serological test results.

Common Clinical Scenarios

Patients presenting with fever, pneumonia, or hepatitis after exposure to livestock.

Billing Considerations

Ensure clear differentiation between acute and chronic forms of the disease.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings, including travel history.

Common Clinical Scenarios

Patients with flu-like symptoms returning from endemic areas.

Billing Considerations

Consideration of differential diagnoses and appropriate referrals to specialists.

Coding Guidelines

Inclusion Criteria

Use A78 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of clinical findings and laboratory results
  • Include specific details about the patient's exposure history and symptomatology

Exclusion Criteria

Do NOT use A78 When
No specific exclusions found.

Related CPT Codes

86701CPT Code

Coxiella burnetii antibody test

Clinical Scenario

Used to confirm diagnosis of Q fever in symptomatic patients.

Documentation Requirements

Document the reason for testing and clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing for accurate diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Q fever, improving the ability to track and manage this disease. The granularity of ICD-10 codes facilitates better epidemiological data collection and enhances the understanding of disease patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Q fever, improving the ability to track and manage this disease. The granularity of ICD-10 codes facilitates better epidemiological data collection and enhances the understanding of disease patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Q fever, improving the ability to track and manage this disease. The granularity of ICD-10 codes facilitates better epidemiological data collection and enhances the understanding of disease patterns.

Resources

Clinical References

  • •
    CDC Q Fever Information

Coding & Billing References

  • •
    CDC Q Fever Information

Frequently Asked Questions

What are the common symptoms of Q fever?

Common symptoms include high fever, chills, fatigue, muscle aches, and in some cases, pneumonia or hepatitis.

How is Q fever diagnosed?

Diagnosis is typically made through serological testing for antibodies against Coxiella burnetii, along with a thorough patient history.

Can Q fever be prevented?

Preventive measures include vaccination of livestock, proper handling of animal products, and avoiding exposure to contaminated environments.