Dengue fever
ICD-10 A77 is a billable code used to indicate a diagnosis of dengue fever.
Dengue fever is a mosquito-borne viral infection caused by the dengue virus, which is transmitted primarily by Aedes aegypti and Aedes albopictus mosquitoes. The disease is endemic in tropical and subtropical regions worldwide, particularly in urban and semi-urban areas. Clinically, dengue fever presents with a sudden onset of high fever, severe headache, retro-orbital pain, myalgia, arthralgia, and rash. In some cases, it can progress to severe dengue, characterized by plasma leakage, hemorrhagic manifestations, and organ impairment, which can be life-threatening. Diagnosis is primarily based on clinical presentation and serological tests for dengue-specific antibodies or viral RNA. The World Health Organization (WHO) has established guidelines for the classification of dengue severity, which is crucial for management and treatment. Preventive measures focus on vector control and personal protective measures against mosquito bites. Given the global increase in travel and climate change, dengue fever has become a significant public health concern, necessitating accurate coding for effective surveillance and resource allocation.
Detailed clinical notes including travel history, symptom onset, and laboratory results.
Patients presenting with fever and travel history to endemic areas.
Ensure documentation reflects the severity of the disease and any complications.
Immediate assessment notes, including vital signs and initial lab results.
Patients with acute febrile illness presenting to the emergency department.
Timely documentation is crucial for coding severity and potential complications.
Used when serological testing for dengue is performed.
Document the reason for testing and any relevant clinical findings.
Infectious disease specialists should ensure comprehensive documentation of the patient's history and symptoms.
Common symptoms include high fever, severe headache, pain behind the eyes, joint and muscle pain, rash, and mild bleeding. Severe cases may lead to hemorrhagic manifestations and shock.
