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ICD-10 Guide
ICD-10 CodesA83.0

A83.0

Tick-borne viral encephalitis

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

Code Description

ICD-10 A83.0 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, particularly the Ixodes ricinus and Ixodes persulcatus species. The disease is endemic in certain regions of Europe and Asia, where the virus is prevalent in wildlife, particularly in rodents and birds. Clinically, TBE can present in three phases: an initial febrile phase, followed by a symptom-free interval, and then a neurological phase characterized by meningoencephalitis. Symptoms may include fever, headache, nausea, vomiting, and neurological deficits such as confusion, seizures, or paralysis. The severity of the disease can vary, with some patients recovering fully while others may experience long-term neurological complications. 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

  • Varied clinical presentation and severity of the disease
  • Differentiation from other viral encephalitides
  • Need for detailed travel and exposure history
  • Documentation of vaccination status

Audit Risk Factors

  • Inadequate documentation of tick exposure
  • Failure to document vaccination status
  • Misclassification with other encephalitis codes
  • Lack of detailed neurological examination findings

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Thorough documentation of travel history, exposure to ticks, and vaccination status.

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms after travel to endemic areas.

Billing Considerations

Ensure that all relevant laboratory results and imaging studies are included in the documentation.

Neurology

Documentation Requirements

Detailed neurological examination findings and assessment of cognitive function.

Common Clinical Scenarios

Patients with acute onset of neurological symptoms following a febrile illness.

Billing Considerations

Document any long-term neurological deficits and rehabilitation needs.

Coding Guidelines

Inclusion Criteria

Use A83.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the patient's history, clinical findings, and any relevant laboratory results
  • diagnosed

Exclusion Criteria

Do NOT use A83.0 When
  • Exclude codes for other viral encephalitides unless co

Related CPT Codes

87491CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); viral, amplified probe technique

Clinical Scenario

Used when testing for TBE virus in patients with suspected encephalitis.

Documentation Requirements

Document the clinical rationale for testing and any relevant patient history.

Specialty Considerations

Infectious disease specialists should ensure that all relevant laboratory results are included.

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 tracking of disease incidence.

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 tracking of disease incidence.

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 tracking of disease incidence.

Resources

Clinical References

  • •
    CDC Tick-Borne Diseases

Coding & Billing References

  • •
    CDC Tick-Borne Diseases

Frequently Asked Questions

What are the symptoms of tick-borne viral encephalitis?

Symptoms typically include fever, headache, nausea, vomiting, and neurological symptoms such as confusion, seizures, and paralysis.

How is tick-borne viral encephalitis diagnosed?

Diagnosis is based on clinical symptoms, history of tick exposure, and serological testing for TBE virus antibodies.

Is there a vaccine for tick-borne viral encephalitis?

Yes, a vaccine is available and recommended for individuals at high risk, particularly those living in or traveling to endemic areas.