Rabies
ICD-10 A81 is a billable code used to indicate a diagnosis of rabies.
Rabies is a viral infection caused by the rabies virus, which is a member of the Lyssavirus genus. It primarily affects the central nervous system (CNS) and is transmitted through the saliva of infected animals, most commonly via bites. The incubation period can vary from weeks to months, depending on the site of entry and the viral load. Initial symptoms may include fever, headache, and malaise, which can progress to neurological complications such as confusion, agitation, hallucinations, and paralysis. As the disease advances, patients may experience hydrophobia, aerophobia, and ultimately, coma and death if not treated promptly. Vaccination against rabies is crucial for individuals at high risk, such as veterinarians and animal handlers, and post-exposure prophylaxis (PEP) is effective if administered before the onset of symptoms. Accurate coding of rabies requires careful consideration of the patient's vaccination status, exposure history, and clinical manifestations to ensure appropriate management and reimbursement.
Detailed patient history including exposure and vaccination status.
Patients presenting with neurological symptoms after animal bites.
Ensure thorough documentation of clinical progression and treatment response.
Immediate assessment of exposure risk and vaccination history.
Patients with acute neurological symptoms following potential rabies exposure.
Timely documentation is critical for initiating post-exposure prophylaxis.
Administered post-exposure after potential rabies exposure.
Document the reason for vaccination and patient history.
Infectious disease specialists should ensure vaccination records are complete.
Documentation must include the patient's exposure history, vaccination status, and a detailed account of clinical symptoms and progression.
