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v1.0.0
ICD-10 Guide
ICD-10 CodesA83

A83

Tick-borne viral encephalitis

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

Code Description

ICD-10 A83 is a billable code used to indicate a diagnosis of tick-borne viral encephalitis.

Key Diagnostic Point:

Tick-borne viral encephalitis (TBE) is a viral infection that affects the central nervous system, primarily transmitted through the bite of infected ticks. The disease is caused by the tick-borne encephalitis virus (TBEV), which is prevalent in certain regions of Europe and Asia. Clinically, TBE can present in three phases: an initial phase characterized by flu-like symptoms such as fever, headache, and fatigue; a second phase where neurological symptoms emerge, including meningitis, encephalitis, or meningoencephalitis; and a potential third phase that may involve severe neurological complications such as paralysis or cognitive impairment. The severity of the disease can vary significantly, with some patients recovering completely while others may experience long-term neurological deficits. Vaccination is available and recommended for individuals at high risk, such as those living in endemic areas or engaging in outdoor activities in these regions. Early diagnosis and supportive care are crucial for improving outcomes in affected patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other viral encephalitides
  • Need for detailed patient history regarding tick exposure
  • Variability in clinical presentation
  • Potential for co-infection with other pathogens

Audit Risk Factors

  • Inadequate documentation of tick exposure
  • Failure to document vaccination status
  • Misclassification of the type of encephalitis
  • Lack of detailed neurological assessment

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including travel and exposure history, vaccination status, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms after potential tick exposure.

Billing Considerations

Consideration of differential diagnoses and co-infections.

Neurology

Documentation Requirements

Comprehensive neurological examination findings and imaging results.

Common Clinical Scenarios

Patients with confirmed or suspected viral encephalitis requiring neurological evaluation.

Billing Considerations

Documentation of neurological deficits and follow-up assessments.

Coding Guidelines

Inclusion Criteria

Use A83 When
  • According to ICD
  • 10 guidelines, A83 should be used when the diagnosis of tick
  • borne viral encephalitis is confirmed
  • infection is documented
  • Proper documentation of exposure history and vaccination status is essential

Exclusion Criteria

Do NOT use A83 When
  • Exclusion criteria include other viral encephalitides unless co

Related Codes

Child Codes

9 codes
A83.0
Tick-borne viral encephalitis
A83.1
Japanese encephalitis.
A83.2
West Nile virus infection of the central nervous system
A83.3
West Nile virus infection with other neurologic manifestation
A83.4
Eastern equine encephalitis
A83.5
Japanese encephalitis.
A83.6
Japanese encephalitis virus disease
A83.8
Other tick-borne viral encephalitis
A83.9
Tick-borne viral encephalitis, unspecified

Related CPT Codes

87491CPT Code

Viral detection by nucleic acid (DNA or RNA)

Clinical Scenario

Used when testing for TBEV in patients with suspected encephalitis.

Documentation Requirements

Document the clinical rationale for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing protocols.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tick-borne viral encephalitis, improving the accuracy of epidemiological data and facilitating better patient management through detailed documentation requirements.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tick-borne viral encephalitis, improving the accuracy of epidemiological data and facilitating better patient management through detailed documentation requirements.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tick-borne viral encephalitis, improving the accuracy of epidemiological data and facilitating better patient management through detailed documentation requirements.

Resources

Clinical References

  • •
    CDC Tick-Borne Diseases

Coding & Billing References

  • •
    CDC Tick-Borne Diseases

Frequently Asked Questions

What are the common symptoms of tick-borne viral encephalitis?

Common symptoms include fever, headache, fatigue, and neurological symptoms such as confusion, seizures, and paralysis.