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ICD-10 Guide
ICD-10 CodesA84

A84

Tick-borne viral encephalitis

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

Code Description

ICD-10 A84 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 various regions of Europe and Asia, where it poses a significant public health risk. Clinically, TBE can present in three stages: an initial phase characterized by flu-like symptoms such as fever, headache, and fatigue; a second phase where neurological symptoms may develop, including meningitis, encephalitis, or myelitis; and a potential third phase that can lead to severe neurological complications such as seizures, paralysis, or cognitive impairment. Diagnosis is typically confirmed through serological testing for specific antibodies against the TBE virus. 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. Understanding the clinical presentation, potential complications, and vaccination status is crucial for effective management and coding of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations ranging from mild to severe.
  • Need for serological confirmation which may not always be available.
  • Differentiation from other viral encephalitides.
  • Documentation of vaccination status and its implications on severity.

Audit Risk Factors

  • Inadequate documentation of vaccination status.
  • Failure to document the clinical progression of the disease.
  • Misclassification of the type of viral encephalitis.
  • Lack of serological test results in the medical record.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms after tick exposure.

Billing Considerations

Ensure serological test results are included in the documentation.

Neurology

Documentation Requirements

Comprehensive neurological examination findings and imaging results.

Common Clinical Scenarios

Patients with severe neurological deficits following a tick bite.

Billing Considerations

Document all neurological assessments and any complications.

Coding Guidelines

Inclusion Criteria

Use A84 When
  • According to ICD
  • 10 guidelines, A84 should be used when the diagnosis of tick
  • borne viral encephalitis is confirmed through clinical evaluation and serological testing
  • infection is documented

Exclusion Criteria

Do NOT use A84 When
  • Exclusion criteria include other viral encephalitides unless co

Related Codes

Child Codes

6 codes
A84.0
Tick-borne encephalitis virus disease
A84.1
Tick-borne viral encephalitis
A84.8
Other specified tick-borne viral encephalitis
A84.81
Powassan virus disease
A84.89
Other tick-borne viral encephalitis
A84.9
Tick-borne viral encephalitis, unspecified

Related CPT Codes

86788CPT Code

Antibody test for tick-borne encephalitis virus

Clinical Scenario

Used to confirm diagnosis in patients presenting with neurological symptoms after tick exposure.

Documentation Requirements

Document the reason for testing and clinical symptoms.

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 tick-borne viral encephalitis, improving the accuracy of epidemiological data and enhancing the ability to track outbreaks and vaccination efficacy.

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 enhancing the ability to track outbreaks and vaccination efficacy.

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 enhancing the ability to track outbreaks and vaccination efficacy.

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

Is there a vaccine for tick-borne viral encephalitis?

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