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v1.0.0
ICD-10 Guide
ICD-10 CodesA95.1

A95.1

Yellow fever with visceral involvement

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

Code Description

ICD-10 A95.1 is a billable code used to indicate a diagnosis of yellow fever with visceral involvement.

Key Diagnostic Point:

Yellow fever is an acute viral hemorrhagic disease caused by the yellow fever virus, which is transmitted by infected mosquitoes, primarily Aedes aegypti. The disease is endemic in tropical regions of Africa and South America. Yellow fever can present with a range of symptoms, from mild fever and chills to severe illness characterized by high fever, abdominal pain, liver damage, and bleeding. Visceral involvement indicates that the virus has affected internal organs, particularly the liver, leading to jaundice and potential liver failure. Patients may also experience gastrointestinal bleeding, renal impairment, and multi-organ dysfunction. Diagnosis is typically confirmed through serological testing or PCR. Vaccination is the most effective preventive measure, and travelers to endemic areas are advised to receive the yellow fever vaccine. The condition can be severe and requires prompt medical attention, especially in cases of visceral involvement, which significantly increases morbidity and mortality rates.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of travel history to endemic areas.
  • Differentiation from other viral hemorrhagic fevers.
  • Documentation of visceral involvement is critical.
  • Potential for co-infection with other arboviruses.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Lack of laboratory confirmation.
  • Misclassification with other hemorrhagic fevers.
  • Insufficient detail on visceral involvement.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, laboratory results, and clinical findings.

Common Clinical Scenarios

Patients presenting with fever and jaundice after travel to endemic areas.

Billing Considerations

Ensure all symptoms and lab results are documented to support the diagnosis.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms, travel history, and initial lab tests.

Common Clinical Scenarios

Patients presenting with acute febrile illness and potential hemorrhagic symptoms.

Billing Considerations

Rapid identification and documentation of symptoms are crucial for timely treatment.

Coding Guidelines

Inclusion Criteria

Use A95.1 When
  • According to the ICD
  • 10 coding guidelines, A95
  • 1 should be used when there is clear documentation of visceral involvement in yellow fever
  • It is important to include travel history and laboratory confirmation in the medical record

Exclusion Criteria

Do NOT use A95.1 When
  • Exclusion criteria include cases where visceral involvement is not documented

Related CPT Codes

86790CPT Code

Antibody test for yellow fever virus

Clinical Scenario

Used to confirm diagnosis in suspected cases of yellow fever.

Documentation Requirements

Document the reason for testing and clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of travel history and symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of yellow fever, including the differentiation between cases with and without visceral involvement. This specificity aids in better tracking of disease prevalence and resource allocation for public health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of yellow fever, including the differentiation between cases with and without visceral involvement. This specificity aids in better tracking of disease prevalence and resource allocation for public health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of yellow fever, including the differentiation between cases with and without visceral involvement. This specificity aids in better tracking of disease prevalence and resource allocation for public health.

Resources

Clinical References

  • •
    CDC Yellow Fever Information

Coding & Billing References

  • •
    CDC Yellow Fever Information

Frequently Asked Questions

What are the symptoms of yellow fever with visceral involvement?

Symptoms include high fever, chills, abdominal pain, jaundice, and bleeding. Severe cases may lead to liver failure and multi-organ dysfunction.