Viral meningitis
ICD-10 A87 is a billable code used to indicate a diagnosis of viral meningitis.
Viral meningitis is an inflammation of the protective membranes covering the brain and spinal cord, primarily caused by viral infections. Common viral agents include enteroviruses, herpes simplex virus, and mumps virus. Symptoms typically include fever, headache, stiff neck, and sensitivity to light. Unlike bacterial meningitis, viral meningitis is generally less severe and often resolves without specific treatment. Diagnosis is usually confirmed through lumbar puncture, which reveals an elevated white blood cell count with a predominance of lymphocytes, normal glucose levels, and negative bacterial cultures. While most patients recover fully, some may experience neurological complications such as seizures or cognitive deficits. Vaccination status plays a crucial role in prevention; for instance, vaccines against mumps and measles can reduce the incidence of viral meningitis caused by these pathogens. Understanding the nuances of viral meningitis is essential for accurate coding and appropriate clinical management.
Detailed history of symptoms, laboratory results, and vaccination status.
Patients presenting with fever, headache, and neck stiffness.
Ensure accurate identification of the viral agent and any neurological sequelae.
Neurological examination findings, imaging results, and follow-up assessments.
Patients with post-viral complications such as seizures or cognitive changes.
Document any neurological deficits and their impact on daily functioning.
Used to obtain CSF for analysis in suspected meningitis cases.
Document indication for procedure, patient consent, and results of CSF analysis.
Ensure that the procedure is performed by qualified personnel and that results are interpreted by a specialist.
Common causes include enteroviruses, herpes simplex virus, mumps virus, and West Nile virus. Enteroviruses are the most frequent culprits, especially in children.
