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v1.0.0
ICD-10 Guide
ICD-10 CodesA96.0

A96.0

Dengue hemorrhagic fever

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

Code Description

ICD-10 A96.0 is a billable code used to indicate a diagnosis of dengue hemorrhagic fever.

Key Diagnostic Point:

Dengue hemorrhagic fever (DHF) is a severe form of dengue fever, a viral illness transmitted by Aedes mosquitoes, primarily Aedes aegypti. It is characterized by high fever, hemorrhagic manifestations, and increased vascular permeability leading to plasma leakage, which can result in shock and organ failure. The clinical presentation often includes symptoms such as severe abdominal pain, persistent vomiting, and bleeding tendencies, which may manifest as petechiae, gum bleeding, or gastrointestinal bleeding. DHF typically occurs in individuals who have had a previous dengue infection, as the immune response can exacerbate the disease severity. Diagnosis is confirmed through serological tests or PCR, and management focuses on supportive care, including fluid replacement and monitoring for complications. Travel history to endemic areas is crucial for diagnosis, as DHF is prevalent in tropical and subtropical regions. Early recognition and intervention are vital to prevent severe outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of travel history to endemic areas.
  • Differentiation from other hemorrhagic fevers.
  • Understanding of serological testing and interpretation.
  • Management of co-morbid conditions that may complicate DHF.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Failure to document severity of symptoms.
  • Misclassification of dengue fever severity.
  • Lack of supporting lab results in the medical record.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with fever and bleeding after travel to endemic regions.

Billing Considerations

Ensure accurate documentation of previous dengue infections and any complications.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients with acute febrile illness and signs of shock.

Billing Considerations

Timely documentation is critical for coding and billing, especially in acute settings.

Coding Guidelines

Inclusion Criteria

Use A96.0 When
  • Follow ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of the clinical picture, including symptoms and travel history
  • Include any relevant lab results to support the diagnosis

Exclusion Criteria

Do NOT use A96.0 When
No specific exclusions found.

Related CPT Codes

86790CPT Code

Dengue virus serology

Clinical Scenario

Used to confirm diagnosis in patients with suspected dengue hemorrhagic fever.

Documentation Requirements

Document the reason for testing and clinical symptoms.

Specialty Considerations

Infectious disease specialists should ensure comprehensive lab documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dengue hemorrhagic fever, improving data accuracy and enhancing the ability to track outbreaks and manage public health responses.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dengue hemorrhagic fever, improving data accuracy and enhancing the ability to track outbreaks and manage public health responses.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dengue hemorrhagic fever, improving data accuracy and enhancing the ability to track outbreaks and manage public health responses.

Resources

Clinical References

  • •
    CDC Dengue Information

Coding & Billing References

  • •
    CDC Dengue Information

Frequently Asked Questions

What are the key symptoms of dengue hemorrhagic fever?

Key symptoms include high fever, severe abdominal pain, persistent vomiting, bleeding tendencies, and signs of shock. Early recognition is crucial for management.