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ICD-10 Guide
ICD-10 CodesA83.3

A83.3

West Nile virus infection with other neurologic manifestation

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

Code Description

ICD-10 A83.3 is a billable code used to indicate a diagnosis of west nile virus infection with other neurologic manifestation.

Key Diagnostic Point:

West Nile virus (WNV) infection is a viral disease transmitted primarily by mosquitoes, which can lead to severe neurological complications. The infection can manifest in various forms, including asymptomatic cases, mild febrile illness, and severe neuroinvasive disease such as meningitis, encephalitis, or acute flaccid paralysis. The neurological manifestations of WNV infection can include altered mental status, seizures, and motor weakness. Diagnosis is typically confirmed through serological testing for WNV-specific IgM antibodies in serum or cerebrospinal fluid (CSF). The clinical presentation may vary widely, and while many patients recover fully, some may experience long-term neurological sequelae. Vaccination against WNV is not currently available for humans, making prevention through mosquito control and personal protective measures essential. Understanding the full spectrum of neurological manifestations is crucial for appropriate management and coding of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of neurological manifestations complicating diagnosis
  • Need for serological confirmation of WNV infection
  • Differentiation from other viral CNS infections
  • Documentation of specific neurologic symptoms

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to confirm diagnosis with serological testing
  • Misclassification of WNV infection severity
  • Lack of follow-up documentation for long-term sequelae

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with fever, neurological symptoms, and recent mosquito exposure.

Billing Considerations

Ensure serological test results are included in documentation.

Neurology

Documentation Requirements

Comprehensive neurological examination findings and any imaging or lab results.

Common Clinical Scenarios

Patients with acute neurological deficits or altered mental status.

Billing Considerations

Document any long-term effects or rehabilitation needs.

Coding Guidelines

Inclusion Criteria

Use A83.3 When
  • Follow ICD
  • CM guidelines for coding infectious diseases, ensuring accurate documentation of symptoms and laboratory confirmations
  • infection is documented

Exclusion Criteria

Do NOT use A83.3 When
  • Exclude codes for other viral infections unless co

Related CPT Codes

86788CPT Code

West Nile virus antibody test

Clinical Scenario

Used to confirm diagnosis in patients with suspected WNV infection.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive lab 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 WNV infections, particularly those with neurological manifestations, improving data accuracy and patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of WNV infections, particularly those with neurological manifestations, improving data accuracy and patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of WNV infections, particularly those with neurological manifestations, improving data accuracy and patient care tracking.

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 in severe cases, neurological symptoms such as confusion, seizures, and paralysis.