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ICD-10 Guide
ICD-10 CodesA83.2

A83.2

West Nile virus infection of the central nervous system

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

Code Description

ICD-10 A83.2 is a billable code used to indicate a diagnosis of west nile virus infection of the central nervous system.

Key Diagnostic Point:

West Nile virus (WNV) infection of the central nervous system (CNS) is a serious condition that can lead to neurological complications such as encephalitis and meningitis. The virus is primarily transmitted to humans through the bite of an infected mosquito, and while many individuals may remain asymptomatic, a subset may develop severe neurological manifestations. Symptoms can include fever, headache, neck stiffness, altered mental status, and seizures. Diagnosis is typically confirmed through serological testing or lumbar puncture to analyze cerebrospinal fluid (CSF) for the presence of the virus or antibodies. The risk of severe disease increases with age and in individuals with certain comorbidities. Vaccination against WNV is not currently available for humans, making prevention through mosquito control and personal protective measures critical. Management of WNV CNS infections is primarily supportive, focusing on symptomatic relief and monitoring for complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between mild and severe cases of WNV infection.
  • Understanding the range of neurological symptoms associated with the infection.
  • Navigating the need for serological testing and lumbar puncture documentation.
  • Recognizing the importance of patient history regarding mosquito exposure.

Audit Risk Factors

  • Inadequate documentation of neurological symptoms.
  • Failure to document serological test results.
  • Misclassification of the severity of the infection.
  • Lack of clarity regarding mosquito exposure history.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and clinical findings related to WNV.

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms after mosquito exposure.

Billing Considerations

Ensure documentation includes the timeline of symptoms and any prior health conditions.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and CSF analysis.

Common Clinical Scenarios

Patients with acute encephalitis or meningitis symptoms.

Billing Considerations

Document all neurological assessments and any changes in mental status.

Coding Guidelines

Inclusion Criteria

Use A83.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the clinical presentation and any relevant laboratory findings
  • Include any co
  • existing conditions that may impact treatment and prognosis

Exclusion Criteria

Do NOT use A83.2 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

West Nile virus testing

Clinical Scenario

Used when serological testing for WNV is performed.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of exposure history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of WNV infections, improving data accuracy and enhancing the ability to track epidemiological trends.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of WNV infections, improving data accuracy and enhancing the ability to track epidemiological trends.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of WNV infections, improving data accuracy and enhancing the ability to track epidemiological trends.

Resources

Clinical References

  • •
    CDC West Nile Virus Information

Coding & Billing References

  • •
    CDC West Nile Virus Information

Frequently Asked Questions

What are the common symptoms of West Nile virus infection?

Common symptoms include fever, headache, body aches, joint pain, vomiting, diarrhea, and rash. Severe cases may lead to neurological symptoms such as confusion, seizures, and paralysis.