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v1.0.0
ICD-10 Guide
ICD-10 CodesA77.3

A77.3

Q fever

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

Code Description

ICD-10 A77.3 is a billable code used to indicate a diagnosis of q fever.

Key Diagnostic Point:

Q fever is an infectious disease caused by the bacterium Coxiella burnetii, primarily transmitted to humans from animals, particularly livestock such as cattle, sheep, and goats. The disease is characterized by a wide range of symptoms, including high fever, chills, fatigue, and muscle aches, which can develop into more severe complications such as pneumonia or hepatitis. The incubation period for Q fever typically ranges from 2 to 3 weeks following exposure. Diagnosis is often made through serological testing, which detects antibodies against C. burnetii. The disease is notable for its potential to become chronic, leading to conditions such as endocarditis in susceptible individuals. Q fever is considered a zoonotic disease, meaning it can be transmitted from animals to humans, often through inhalation of contaminated aerosols or dust from infected animal products. Travel-related infections may occur in individuals visiting areas with known outbreaks or high-risk animal populations. Effective prevention strategies include vaccination for at-risk populations and proper handling of animal products.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied clinical presentation can lead to misdiagnosis.
  • Potential for chronic complications requiring long-term follow-up.
  • Differentiation from other febrile illnesses is necessary.
  • Documentation of exposure history is critical for accurate coding.

Audit Risk Factors

  • Inadequate documentation of exposure history.
  • Failure to document serological test results.
  • Misclassification of acute vs. chronic Q fever.
  • Inconsistent coding of related symptoms or complications.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including exposure to livestock and travel history.

Common Clinical Scenarios

Patients presenting with fever and respiratory symptoms after exposure to animals.

Billing Considerations

Ensure that serological tests are documented and interpreted correctly.

Primary Care

Documentation Requirements

Comprehensive review of symptoms and potential exposure sources.

Common Clinical Scenarios

Patients with flu-like symptoms returning from rural or agricultural areas.

Billing Considerations

Consider differential diagnoses and document any travel history.

Coding Guidelines

Inclusion Criteria

Use A77.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including any related symptoms or complications
  • Include exposure history and serological test results to support the diagnosis

Exclusion Criteria

Do NOT use A77.3 When
No specific exclusions found.

Related CPT Codes

86701CPT Code

Antibody test for Coxiella burnetii

Clinical Scenario

Used when Q fever is suspected based on clinical presentation.

Documentation Requirements

Document the reason for testing and any relevant exposure history.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of test results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Q fever, improving the accuracy of epidemiological tracking and treatment outcomes. It has also facilitated better differentiation from other rickettsial diseases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Q fever, improving the accuracy of epidemiological tracking and treatment outcomes. It has also facilitated better differentiation from other rickettsial diseases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Q fever, improving the accuracy of epidemiological tracking and treatment outcomes. It has also facilitated better differentiation from other rickettsial diseases.

Resources

Clinical References

  • •
    CDC Q Fever Information

Coding & Billing References

  • •
    CDC Q Fever Information

Frequently Asked Questions

What are the common symptoms of Q fever?

Common symptoms include high fever, chills, fatigue, muscle aches, and in some cases, pneumonia or hepatitis.

How is Q fever transmitted?

Q fever is primarily transmitted through inhalation of contaminated aerosols from infected animals, particularly livestock.

What is the treatment for Q fever?

The first-line treatment for Q fever is doxycycline, especially in acute cases.