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v1.0.0
ICD-10 Guide
ICD-10 CodesA98.8

A98.8

Other viral hemorrhagic fevers, NEC

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

Code Description

ICD-10 A98.8 is a billable code used to indicate a diagnosis of other viral hemorrhagic fevers, nec.

Key Diagnostic Point:

A98.8 encompasses various viral hemorrhagic fevers that do not fall under more specific categories. These conditions are characterized by fever, bleeding, and multi-organ dysfunction, often resulting from infections by viruses transmitted through arthropods or other means. Common examples include infections caused by the Crimean-Congo hemorrhagic fever virus, the Rift Valley fever virus, and others that are not classified elsewhere. The clinical presentation can vary significantly, but typically includes high fever, fatigue, dizziness, and bleeding tendencies, which may lead to severe complications and high mortality rates. Diagnosis is often confirmed through serological tests or PCR assays. Given the potential for outbreaks, especially in endemic regions, travel history is crucial in assessing risk factors and exposure. Clinicians must be vigilant in identifying symptoms and obtaining thorough travel histories to ensure timely diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of viral agents causing similar symptoms
  • Need for detailed travel history to ascertain exposure
  • Differentiation from other hemorrhagic fevers
  • Potential for co-infections with other diseases

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to specify the viral agent when known
  • Misclassification of symptoms as non-hemorrhagic
  • Lack of supporting lab results in the medical record

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, laboratory results, and clinical findings must be documented.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant viral agents are considered and documented.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients with acute febrile illness and potential exposure to viral hemorrhagic fevers.

Billing Considerations

Rapid identification and isolation protocols may be necessary.

Coding Guidelines

Inclusion Criteria

Use A98.8 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of symptoms, travel history, and laboratory findings
  • 8 should be used when the specific viral hemorrhagic fever is not classified elsewhere

Exclusion Criteria

Do NOT use A98.8 When
No specific exclusions found.

Related CPT Codes

87593CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); multiplex, 3-5 targets

Clinical Scenario

Used when testing for multiple viral agents in suspected cases of hemorrhagic fever.

Documentation Requirements

Document the clinical indication for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of viral hemorrhagic fevers, improving data accuracy and facilitating better tracking of outbreaks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of viral hemorrhagic fevers, improving data accuracy and facilitating better tracking of outbreaks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of viral hemorrhagic fevers, improving data accuracy and facilitating better tracking of outbreaks.

Resources

Clinical References

  • •
    CDC Viral Hemorrhagic Fever Fact Sheet

Coding & Billing References

  • •
    CDC Viral Hemorrhagic Fever Fact Sheet

Frequently Asked Questions

When should I use A98.8?

Use A98.8 when a patient presents with symptoms of viral hemorrhagic fever that cannot be classified under more specific codes, and ensure thorough documentation of travel history and laboratory findings.