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v1.0.0
ICD-10 Guide
ICD-10 CodesA95.9

A95.9

Yellow fever, unspecified

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

Code Description

ICD-10 A95.9 is a billable code used to indicate a diagnosis of yellow fever, unspecified.

Key Diagnostic Point:

Yellow fever is a 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. Symptoms typically appear 3 to 6 days after infection and can range from mild to severe. Initial symptoms include fever, chills, loss of appetite, nausea, muscle pain, and headache. In severe cases, the disease can progress to liver damage, resulting in jaundice, abdominal pain, and bleeding due to liver failure. The mortality rate can be as high as 50% in severe cases. Diagnosis is primarily based on clinical history, including travel to endemic areas, and serological testing. Vaccination is the most effective preventive measure, and it is recommended for travelers to endemic regions. The unspecified nature of this code indicates that the specific details of the infection, such as severity or complications, are not documented, which may complicate treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation and severity
  • Need for travel history documentation
  • Differentiation from other viral hemorrhagic fevers
  • Potential for co-infection with other arboviruses

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to specify symptoms or severity
  • Misclassification with other arboviral infections
  • Lack of serological test results in the medical record

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, symptomatology, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and travel history to endemic areas.

Billing Considerations

Ensure comprehensive documentation of symptoms and any laboratory tests performed.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms, travel history, and potential exposure.

Common Clinical Scenarios

Patients with acute febrile illness after travel to endemic regions.

Billing Considerations

Rapid documentation of clinical findings is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use A95.9 When
  • According to ICD
  • 10 guidelines, A95
  • 9 should be used when there is a confirmed diagnosis of yellow fever without further specification
  • It is important to document travel history and clinical symptoms to support the diagnosis

Exclusion Criteria

Do NOT use A95.9 When
No specific exclusions found.

Related CPT Codes

86790CPT Code

Antibody test for yellow fever virus

Clinical Scenario

When serological testing is performed to confirm yellow fever.

Documentation Requirements

Document the reason for testing and travel history.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation.

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, improving the ability to track and manage cases. However, the unspecified nature of A95.9 may lead to challenges in data analysis and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of yellow fever, improving the ability to track and manage cases. However, the unspecified nature of A95.9 may lead to challenges in data analysis and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of yellow fever, improving the ability to track and manage cases. However, the unspecified nature of A95.9 may lead to challenges in data analysis and treatment planning.

Resources

Clinical References

  • •
    CDC Yellow Fever Information

Coding & Billing References

  • •
    CDC Yellow Fever Information

Frequently Asked Questions

What is the significance of documenting travel history for yellow fever?

Documenting travel history is crucial for diagnosing yellow fever, as it is endemic in specific regions. It helps differentiate yellow fever from other febrile illnesses and supports the use of the appropriate ICD-10 code.