ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesA69.1

A69.1

Other specified spirochetal infections, early disseminated.

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

Code Description

ICD-10 A69.1 is a billable code used to indicate a diagnosis of other specified spirochetal infections, early disseminated..

Key Diagnostic Point:

A69.1 refers to early disseminated spirochetal infections that do not fall under more specific categories such as Lyme disease or syphilis. Spirochetal infections are caused by spiral-shaped bacteria known as spirochetes, which include Borrelia, Treponema, and Leptospira species. Early disseminated infections occur when the spirochetes spread from the initial site of infection to other parts of the body, potentially affecting multiple organ systems. Symptoms may vary widely, including fever, malaise, and neurological manifestations. Geographic distribution of these infections is often linked to specific endemic areas, such as Lyme disease in the northeastern United States or syphilis in urban centers. Accurate diagnosis often requires serological testing and clinical correlation, as symptoms can mimic other conditions. The complexity of coding A69.1 arises from the need to differentiate it from other spirochetal infections and to ensure comprehensive documentation of the patient's clinical presentation and history.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other spirochetal infections
  • Need for detailed patient history and clinical presentation
  • Variability in symptoms and manifestations
  • Geographic considerations affecting diagnosis

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of spirochetal infection
  • Lack of supporting laboratory results
  • Inconsistent coding with patient history

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes, laboratory results, and patient history.

Common Clinical Scenarios

Patients presenting with fever, rash, or neurological symptoms after potential exposure to endemic areas.

Billing Considerations

Consideration of co-infections and comprehensive serological testing.

Primary Care

Documentation Requirements

Thorough patient history, symptom assessment, and referral notes if applicable.

Common Clinical Scenarios

Patients with nonspecific symptoms who may have been exposed to tick or vector habitats.

Billing Considerations

Awareness of local epidemiology and potential for misdiagnosis.

Coding Guidelines

Inclusion Criteria

Use A69.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • 1 should be used when the specific spirochetal infection is not classified elsewhere and when early dissemination is evident

Exclusion Criteria

Do NOT use A69.1 When
No specific exclusions found.

Related CPT Codes

86592CPT Code

Lyme disease serology

Clinical Scenario

Used when testing for Lyme disease in patients with suspected spirochetal infections.

Documentation Requirements

Document the reason for testing and any relevant symptoms.

Specialty Considerations

Infectious disease specialists may require additional serological tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spirochetal infections, improving the accuracy of epidemiological data and treatment tracking. A69.1 provides a means to capture cases that do not fit neatly into other categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spirochetal infections, improving the accuracy of epidemiological data and treatment tracking. A69.1 provides a means to capture cases that do not fit neatly into other categories.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spirochetal infections, improving the accuracy of epidemiological data and treatment tracking. A69.1 provides a means to capture cases that do not fit neatly into other categories.

Resources

Clinical References

  • •
    CDC Spirochetal Infections Overview

Coding & Billing References

  • •
    CDC Spirochetal Infections Overview

Frequently Asked Questions

What are the common symptoms associated with A69.1?

Common symptoms include fever, malaise, rash, and neurological manifestations. However, symptoms can vary widely depending on the specific spirochetal infection.

How can I differentiate A69.1 from other spirochetal infections?

Differentiation requires careful review of the patient's history, symptoms, and laboratory results. Specific tests for Lyme disease or syphilis should be conducted to rule them out.