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ICD-10 Guide
ICD-10 CodesA77.40

A77.40

Ehrlichiosis, unspecified

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

Code Description

ICD-10 A77.40 is a billable code used to indicate a diagnosis of ehrlichiosis, unspecified.

Key Diagnostic Point:

Ehrlichiosis is a tick-borne infectious disease caused by bacteria of the genus Ehrlichia, which are obligate intracellular pathogens. The disease is primarily transmitted through the bite of infected ticks, particularly the Lone Star tick (Amblyomma americanum) and the black-legged tick (Ixodes scapularis). Symptoms typically manifest 1-2 weeks post-exposure and may include fever, chills, headache, muscle aches, and fatigue. In severe cases, patients may experience complications such as respiratory distress, renal failure, or coagulopathy. Diagnosis is often made through clinical evaluation and serological testing, although PCR testing can also be utilized for confirmation. The unspecified designation in this code indicates that the specific type of Ehrlichia causing the infection has not been identified, which can complicate treatment and management. Prompt recognition and treatment with appropriate antibiotics, such as doxycycline, are crucial to prevent severe outcomes. Given the vector-borne nature of this disease, awareness of travel-related risks, especially in endemic areas, is essential for prevention and early intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can mimic other conditions
  • Need for specific serological or PCR testing for accurate diagnosis
  • Potential for co-infections with other tick-borne diseases
  • Variability in clinical presentation based on patient demographics

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to document specific symptoms or lab results
  • Misidentification of the disease as another tick-borne illness
  • Lack of follow-up documentation on treatment response

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including travel and exposure, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with fever and recent tick exposure, or those with atypical febrile illnesses.

Billing Considerations

Consideration of co-infections with Lyme disease or other tick-borne illnesses.

Primary Care

Documentation Requirements

Thorough documentation of symptoms, travel history, and any tick exposure.

Common Clinical Scenarios

Patients with flu-like symptoms during tick season or after outdoor activities in endemic areas.

Billing Considerations

Awareness of local epidemiology and patient education on tick prevention.

Coding Guidelines

Inclusion Criteria

Use A77.40 When
  • According to ICD
  • 10 guidelines, A77
  • 40 should be used when the specific type of Ehrlichia is not identified
  • Coders should ensure that documentation supports the diagnosis and that any relevant lab tests are noted

Exclusion Criteria

Do NOT use A77.40 When
  • Exclusion criteria include other specified rickettsial diseases

Related CPT Codes

87491CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia species

Clinical Scenario

Used when confirming a diagnosis of Ehrlichiosis through PCR testing.

Documentation Requirements

Documentation of clinical suspicion and test results.

Specialty Considerations

Infectious disease specialists may order this test more frequently.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Ehrlichiosis, enabling better tracking of epidemiology and treatment outcomes. A77.40 serves as a catch-all for unspecified cases, which can complicate data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Ehrlichiosis, enabling better tracking of epidemiology and treatment outcomes. A77.40 serves as a catch-all for unspecified cases, which can complicate data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Ehrlichiosis, enabling better tracking of epidemiology and treatment outcomes. A77.40 serves as a catch-all for unspecified cases, which can complicate data collection and analysis.

Resources

Clinical References

  • •
    CDC Ehrlichiosis Information

Coding & Billing References

  • •
    CDC Ehrlichiosis Information

Frequently Asked Questions

What are the common symptoms of Ehrlichiosis?

Common symptoms include fever, chills, headache, muscle aches, and fatigue. Severe cases may lead to complications such as respiratory distress or renal failure.

How is Ehrlichiosis diagnosed?

Diagnosis is typically made through clinical evaluation, serological testing, or PCR testing to confirm the presence of Ehrlichia.

What is the treatment for Ehrlichiosis?

The primary treatment for Ehrlichiosis is doxycycline, which is effective in most cases when administered early.