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v1.0.0
ICD-10 Guide
ICD-10 CodesA82.9

A82.9

Rabies, unspecified

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

Code Description

ICD-10 A82.9 is a billable code used to indicate a diagnosis of rabies, unspecified.

Key Diagnostic Point:

Rabies is a viral infection caused by the rabies virus, which primarily affects the central nervous system (CNS). The disease is typically transmitted through the bite of an infected animal, leading to severe neurological complications. Initial symptoms may include fever, headache, and general malaise, which can progress to more severe manifestations such as confusion, agitation, hallucinations, and paralysis. The hallmark of rabies is the development of hydrophobia and aerophobia as the disease advances. The incubation period can vary significantly, often lasting from weeks to months, depending on the site of the bite and the viral load. Once clinical symptoms appear, rabies is almost universally fatal. Vaccination status is crucial in the management of potential rabies exposure; post-exposure prophylaxis (PEP) with rabies vaccine and rabies immune globulin is highly effective if administered promptly after exposure. The unspecified nature of this code indicates that the documentation does not provide specific details regarding the type or stage of rabies, which can complicate clinical management and coding accuracy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and progression of the disease.
  • Need for precise documentation of exposure history and vaccination status.
  • Differentiation from other viral CNS infections.
  • Potential for misclassification if symptoms are not clearly documented.

Audit Risk Factors

  • Inadequate documentation of exposure history.
  • Failure to note vaccination status.
  • Misdiagnosis or misclassification of rabies symptoms.
  • Lack of clarity on the source of infection.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure, vaccination status, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with neurological symptoms after animal bites.

Billing Considerations

Ensure thorough documentation of PEP administration and follow-up.

Emergency Medicine

Documentation Requirements

Immediate assessment of bite wounds, vaccination history, and neurological status.

Common Clinical Scenarios

Patients with acute symptoms following suspected rabies exposure.

Billing Considerations

Timely documentation is critical for PEP initiation.

Coding Guidelines

Inclusion Criteria

Use A82.9 When
  • According to ICD
  • 10 coding guidelines, A82
  • 9 should be used when rabies is diagnosed but not specified further
  • Coders must ensure that documentation supports the diagnosis and includes relevant details about exposure and vaccination

Exclusion Criteria

Do NOT use A82.9 When
No specific exclusions found.

Related CPT Codes

90675CPT Code

Rabies vaccine, intramuscular

Clinical Scenario

Administered post-exposure after animal bites.

Documentation Requirements

Record the date of administration and patient response.

Specialty Considerations

Infectious disease specialists should document the rationale for vaccination.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rabies cases, improving data accuracy and facilitating better tracking of rabies exposure and vaccination efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rabies cases, improving data accuracy and facilitating better tracking of rabies exposure and vaccination efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rabies cases, improving data accuracy and facilitating better tracking of rabies exposure and vaccination efforts.

Resources

Clinical References

  • •
    CDC Rabies Information

Coding & Billing References

  • •
    CDC Rabies Information

Frequently Asked Questions

What should be documented to support the use of A82.9?

Documentation should include the patient's exposure history, vaccination status, and clinical symptoms consistent with rabies.