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ICD-10 Guide
ICD-10 CodesB08.1

B08.1

Mumps virus meningoencephalitis

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

Code Description

ICD-10 B08.1 is a billable code used to indicate a diagnosis of mumps virus meningoencephalitis.

Key Diagnostic Point:

Mumps virus meningoencephalitis is a serious complication of mumps infection, characterized by inflammation of the brain and its surrounding membranes. The mumps virus, an RNA virus of the Paramyxoviridae family, primarily affects children but can occur in unvaccinated adults as well. Symptoms typically include fever, headache, vomiting, and signs of meningeal irritation such as neck stiffness. Neurological manifestations can range from mild confusion to severe encephalitis, which may lead to long-term complications such as seizures, hearing loss, or cognitive impairment. Diagnosis is usually confirmed through clinical evaluation and laboratory tests, including serological assays for mumps IgM antibodies or PCR testing of cerebrospinal fluid (CSF). Vaccination with the MMR (measles, mumps, rubella) vaccine has significantly reduced the incidence of mumps and its complications, including meningoencephalitis. However, outbreaks can still occur, particularly in populations with low vaccination rates. Prompt recognition and management are crucial to minimize the risk of severe outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of viral infections and their complications.
  • Differentiation from other viral meningoencephalitides.
  • Need for accurate documentation of clinical symptoms and laboratory results.
  • Potential for misclassification with other encephalitis codes.

Audit Risk Factors

  • Inadequate documentation of vaccination status.
  • Failure to document laboratory confirmation of mumps.
  • Misdiagnosis or confusion with other types of viral encephalitis.
  • Lack of detailed clinical notes regarding symptoms and progression.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Complete vaccination history, clinical symptoms, and laboratory results.

Common Clinical Scenarios

Children presenting with fever, headache, and signs of meningitis.

Billing Considerations

Consideration of recent outbreaks and vaccination rates in the community.

Infectious Disease

Documentation Requirements

Detailed history of exposure, laboratory confirmation, and treatment plans.

Common Clinical Scenarios

Adults with neurological symptoms and history of mumps infection.

Billing Considerations

Need for thorough differential diagnosis to rule out other viral infections.

Coding Guidelines

Inclusion Criteria

Use B08.1 When
  • According to ICD
  • 10 guidelines, B08
  • 1 should be used when there is clear documentation of mumps virus involvement in meningoencephalitis
  • It is important to include laboratory confirmation and clinical symptoms in the documentation

Exclusion Criteria

Do NOT use B08.1 When
  • Exclusion criteria include cases where the meningoencephalitis is due to other viral agents

Related CPT Codes

87426CPT Code

Mumps virus detection, PCR

Clinical Scenario

Used when confirming mumps virus in a patient with meningoencephalitis.

Documentation Requirements

Laboratory results must be documented in the medical record.

Specialty Considerations

Infectious disease specialists may order this test more frequently.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of viral infections, including mumps virus meningoencephalitis, improving data accuracy and epidemiological tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of viral infections, including mumps virus meningoencephalitis, improving data accuracy and epidemiological tracking.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Mumps Information

Coding & Billing References

  • •
    CDC Mumps Information

Frequently Asked Questions

What are the common symptoms of mumps virus meningoencephalitis?

Common symptoms include fever, headache, vomiting, neck stiffness, and neurological signs such as confusion or seizures.

How can mumps virus meningoencephalitis be prevented?

Vaccination with the MMR vaccine is the most effective way to prevent mumps and its complications, including meningoencephalitis.