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v1.0.0
ICD-10 Guide
ICD-10 CodesA91

A91

Dengue fever

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

Code Description

ICD-10 A91 is a billable code used to indicate a diagnosis of dengue fever.

Key Diagnostic Point:

Dengue fever is a mosquito-borne viral infection caused by the dengue virus, which is transmitted primarily by Aedes aegypti mosquitoes. The disease is characterized by high fever, severe headache, pain behind the eyes, joint and muscle pain, rash, and mild bleeding. Dengue fever can progress to more severe forms, such as dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS), which can be life-threatening. The clinical presentation typically occurs 4 to 10 days after being bitten by an infected mosquito. Diagnosis is primarily based on clinical symptoms and confirmed through serological tests or PCR. Travel history is crucial, as dengue is endemic in tropical and subtropical regions, and outbreaks can occur in urban areas. Patients with a history of travel to endemic areas should be evaluated for dengue, especially during outbreaks. Management is supportive, focusing on hydration and pain relief, as there is no specific antiviral treatment for dengue. Monitoring for complications is essential, particularly in patients with severe manifestations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate travel history documentation
  • Differentiation between dengue fever and severe forms like DHF
  • Potential for co-infection with other arboviruses
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to document severity of symptoms
  • Misclassification of dengue fever as DHF without proper evidence
  • Lack of laboratory confirmation in cases of severe symptoms

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on symptoms, travel history, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and travel history to endemic areas.

Billing Considerations

Ensure all relevant symptoms and potential complications are documented.

Emergency Medicine

Documentation Requirements

Immediate assessment notes, including vital signs and initial lab results.

Common Clinical Scenarios

Patients with acute febrile illness after travel.

Billing Considerations

Rapid identification of severe cases to ensure appropriate coding and management.

Coding Guidelines

Inclusion Criteria

Use A91 When
  • According to ICD
  • 10 guidelines, A91 should be used when a patient is diagnosed with dengue fever
  • It is important to document the travel history and any laboratory confirmation

Exclusion Criteria

Do NOT use A91 When
  • Exclude cases where the patient has a different viral hemorrhagic fever

Related CPT Codes

86790CPT Code

Dengue virus serology

Clinical Scenario

Used to confirm diagnosis in patients with suspected dengue fever.

Documentation Requirements

Document the reason for testing and clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dengue fever and its complications, improving data accuracy and facilitating better tracking of disease outbreaks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dengue fever and its complications, improving data accuracy and facilitating better tracking of disease outbreaks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dengue fever and its complications, improving data accuracy and facilitating better tracking of disease outbreaks.

Resources

Clinical References

  • •
    CDC Dengue Information

Coding & Billing References

  • •
    CDC Dengue Information

Frequently Asked Questions

What is the difference between dengue fever and dengue hemorrhagic fever?

Dengue fever is a milder form of the disease characterized by fever and mild bleeding, while dengue hemorrhagic fever is a severe form that can lead to bleeding, organ impairment, and shock.