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v1.0.0
ICD-10 Guide
DiagnosesTick Bite Unspecified Site

Tick Bite Unspecified Site

ICD-10 Coding for Tick Bite Unspecified Site(S60.96XA, W57.XXXA)

PRIMARY SPECIALTYGeneral Practice
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Tick Bite Unspecified Site?
Essential facts and insights about Tick Bite Unspecified Site

Key Clinical Considerations:

  • Erythema migrans or localized rash at the bite site
  • Flu-like symptoms such as fever, chills, and fatigue
  • History of tick exposure

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of tick exposure and symptoms
  • Physical examination findings related to the bite
  • Use of specific terminology such as 'tick bite' and 'unspecified site'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use the specific code for the site if known.
  • Common errors: Misclassifying the bite as venomous or failing to document exposure.

Code Exclusions

Important Exclusions

  • Lyme disease (A69.20)
  • Rocky Mountain spotted fever (A77.0)

Related ICD-10 Codes

Primary Codes
W57.XXXA
Bitten or stung by nonvenomous insect, initial encounter
Ancillary Codes
W57.XXXA
Differential Codes
S00.96XA

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

General Practice

Specialty Applications

  • General population at risk for tick exposure
  • Primary care settings, urgent care facilities

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the site of the bite, symptoms, and any treatment provided.

Billing considerations?

Ensure proper coding to reflect the encounter type and any associated symptoms.