ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesA81.81

A81.81

Kuru

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

Code Description

ICD-10 A81.81 is a billable code used to indicate a diagnosis of kuru.

Key Diagnostic Point:

Kuru is a rare and fatal neurodegenerative disorder caused by prion infection, primarily associated with the consumption of infected human brain tissue. It is characterized by progressive neurological symptoms, including tremors, loss of coordination, and cognitive decline. The disease was historically prevalent among the Fore people of Papua New Guinea, where ritualistic cannibalism led to its transmission. Kuru is classified under the category of transmissible spongiform encephalopathies (TSEs), which are caused by misfolded proteins known as prions. The incubation period for kuru can span several years, and once symptoms appear, the disease progresses rapidly, leading to severe neurological impairment and ultimately death. Diagnosis is primarily clinical, supported by a history of exposure to infected tissue and the presence of characteristic symptoms. There is currently no cure or effective treatment for kuru, making prevention through public health measures critical. Vaccination status is not applicable for kuru, as it is not a viral infection and does not respond to traditional vaccines. Understanding the epidemiology and transmission routes of kuru is essential for healthcare providers, particularly in regions where prion diseases are a concern.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Limited prevalence and awareness among healthcare providers.
  • Need for thorough patient history regarding exposure to prion-infected tissues.
  • Differentiation from other neurological disorders.
  • Potential for misdiagnosis due to overlapping symptoms with other CNS infections.

Audit Risk Factors

  • Inadequate documentation of patient history related to prion exposure.
  • Failure to document neurological symptoms comprehensively.
  • Misclassification of kuru as a viral infection.
  • Lack of supporting diagnostic tests in the medical record.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, patient history of exposure to prion-infected tissues, and symptom progression.

Common Clinical Scenarios

Patients presenting with tremors, ataxia, and cognitive decline, particularly with a history of cannibalistic practices.

Billing Considerations

Neurologists should ensure comprehensive documentation to support the diagnosis and rule out other conditions.

Infectious Disease

Documentation Requirements

History of potential exposure to prion diseases, laboratory findings, and differential diagnoses.

Common Clinical Scenarios

Patients with neurological symptoms and a history of travel to endemic regions.

Billing Considerations

Infectious disease specialists must be aware of the unique nature of prion diseases and their non-viral transmission.

Coding Guidelines

Inclusion Criteria

Use A81.81 When
  • According to the ICD
  • 10 coding guidelines, A81
  • 81 should be used when a patient is diagnosed with kuru, particularly when there is a clear history of exposure to prion
  • infected tissues
  • It is essential to document the clinical presentation and any relevant diagnostic tests performed

Exclusion Criteria

Do NOT use A81.81 When
  • Exclusion criteria include other neurological disorders that may mimic kuru

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits of patients diagnosed with kuru.

Documentation Requirements

Detailed history, examination findings, and treatment plan.

Specialty Considerations

Neurologists should document neurological assessments thoroughly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of prion diseases like kuru, improving the accuracy of epidemiological tracking and resource allocation. It emphasizes the need for detailed documentation to support the diagnosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of prion diseases like kuru, improving the accuracy of epidemiological tracking and resource allocation. It emphasizes the need for detailed documentation to support the diagnosis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of prion diseases like kuru, improving the accuracy of epidemiological tracking and resource allocation. It emphasizes the need for detailed documentation to support the diagnosis.

Resources

Clinical References

  • •
    CDC Prion Disease Information

Coding & Billing References

  • •
    CDC Prion Disease Information

Frequently Asked Questions

What is the primary cause of kuru?

Kuru is caused by prion infection, primarily through the consumption of infected human brain tissue, leading to neurodegenerative changes.