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ICD-10 Guide
ICD-10 CodesA67.2

A67.2

Leptospirosis Weil's disease

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

Code Description

ICD-10 A67.2 is a billable code used to indicate a diagnosis of leptospirosis weil's disease.

Key Diagnostic Point:

Leptospirosis, specifically Weil's disease, is a severe form of leptospirosis caused by the spirochete bacteria Leptospira interrogans. This zoonotic disease is transmitted to humans through contact with water contaminated by the urine of infected animals, particularly rodents. Clinical manifestations can range from mild flu-like symptoms to severe illness characterized by jaundice, renal failure, and hemorrhagic manifestations. Weil's disease is marked by a triad of symptoms: jaundice, renal impairment, and hemorrhagic diathesis. The disease can lead to serious complications, including liver failure, pulmonary hemorrhage, and multi-organ dysfunction. Geographic distribution is global, with endemic areas often found in tropical and subtropical regions, particularly in areas with heavy rainfall and flooding. Outbreaks are common in agricultural settings and during natural disasters. Diagnosis is typically confirmed through serological testing or PCR, and treatment involves the use of antibiotics such as doxycycline or penicillin. Early recognition and management are crucial to reduce morbidity and mortality associated with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations ranging from mild to severe
  • Potential for misdiagnosis with other febrile illnesses
  • Need for specific laboratory confirmation for accurate coding
  • Geographic variations in prevalence affecting documentation

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to document laboratory confirmation
  • Misclassification of severity of illness
  • Lack of detailed clinical notes on symptoms

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on symptoms, exposure history, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever, jaundice, and renal failure after exposure to contaminated water.

Billing Considerations

Ensure all relevant lab tests are documented to support diagnosis.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of presenting symptoms and immediate interventions.

Common Clinical Scenarios

Patients with acute febrile illness and potential exposure to contaminated environments.

Billing Considerations

Document any immediate treatments provided and rationale for diagnosis.

Coding Guidelines

Inclusion Criteria

Use A67.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of symptoms, exposure history, and laboratory confirmation
  • Include any relevant co
  • morbid conditions that may affect treatment

Exclusion Criteria

Do NOT use A67.2 When
No specific exclusions found.

Related CPT Codes

87081CPT Code

Culture for Leptospira

Clinical Scenario

Used when leptospirosis is suspected based on clinical presentation.

Documentation Requirements

Document the clinical rationale for the culture and any relevant patient history.

Specialty Considerations

Infectious disease specialists should ensure all lab results are linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of leptospirosis, improving the accuracy of data collection and epidemiological tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of leptospirosis, improving the accuracy of data collection and epidemiological tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of leptospirosis, improving the accuracy of data collection and epidemiological tracking.

Resources

Clinical References

  • •
    CDC Leptospirosis Information

Coding & Billing References

  • •
    CDC Leptospirosis Information

Frequently Asked Questions

What are the common symptoms of Weil's disease?

Common symptoms include high fever, chills, muscle aches, jaundice, and renal failure. Severe cases may also present with bleeding and respiratory distress.