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v1.0.0
ICD-10 Guide
ICD-10 CodesA79.89

A79.89

Other specified rickettsioses

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

Code Description

ICD-10 A79.89 is a billable code used to indicate a diagnosis of other specified rickettsioses.

Key Diagnostic Point:

Rickettsioses are a group of infectious diseases caused by bacteria of the genus Rickettsia, which are primarily transmitted to humans through the bites of infected arthropods, such as ticks, fleas, and lice. The clinical manifestations of rickettsial infections can vary widely, ranging from mild febrile illnesses to severe, life-threatening conditions. Symptoms often include fever, headache, rash, and myalgia, but can also involve more severe complications such as organ failure or hemorrhagic manifestations. The term 'Other specified rickettsioses' encompasses rickettsial diseases that do not fall under the more commonly recognized categories, such as Rocky Mountain spotted fever or typhus. This code is particularly relevant for cases where the specific rickettsial agent is identified, but does not correspond to the established codes for the more prevalent rickettsial diseases. Travel-related infections are significant, as many rickettsial diseases are endemic to specific geographic regions, and travelers may be at risk of exposure. Accurate diagnosis and coding are essential for appropriate treatment and epidemiological tracking.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of rickettsial species with differing clinical presentations
  • Need for specific laboratory confirmation of the rickettsial agent
  • Potential overlap with other vector-borne diseases
  • Variability in documentation practices among providers

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to specify the rickettsial species involved
  • Misclassification of rickettsial diseases
  • Lack of laboratory confirmation in medical records

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes including travel history, symptoms, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and rash after travel to endemic areas.

Billing Considerations

Ensure that the specific rickettsial species is documented to support the use of A79.89.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom assessment.

Common Clinical Scenarios

Patients with unexplained febrile illness and potential exposure to vectors.

Billing Considerations

Consider differential diagnoses and document any relevant travel history.

Coding Guidelines

Inclusion Criteria

Use A79.89 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used when the specific rickettsial infection is documented but does not fit into other specified categories
  • Ensure that all relevant clinical information is captured in the medical record

Exclusion Criteria

Do NOT use A79.89 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

Rickettsial serology testing

Clinical Scenario

Used when testing for rickettsial infections is performed.

Documentation Requirements

Document the reason for testing and the clinical findings.

Specialty Considerations

Infectious disease specialists may require more detailed documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rickettsial infections, improving the ability to track and manage these diseases. A79.89 provides a means to capture less common rickettsial infections that may not have been adequately represented in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rickettsial infections, improving the ability to track and manage these diseases. A79.89 provides a means to capture less common rickettsial infections that may not have been adequately represented in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rickettsial infections, improving the ability to track and manage these diseases. A79.89 provides a means to capture less common rickettsial infections that may not have been adequately represented in ICD-9.

Resources

Clinical References

  • •
    CDC Rickettsial Diseases

Coding & Billing References

  • •
    CDC Rickettsial Diseases

Frequently Asked Questions

What should I document to support the use of A79.89?

Document the patient's symptoms, travel history, and any laboratory results that confirm a rickettsial infection. Be specific about the rickettsial species if known.