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ICD-10 Guide
ICD-10 CodesA77.41

A77.41

Ehrlichiosis chaffeensis [E. chaffeensis]

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

Code Description

ICD-10 A77.41 is a billable code used to indicate a diagnosis of ehrlichiosis chaffeensis [e. chaffeensis].

Key Diagnostic Point:

Ehrlichiosis chaffeensis is a tick-borne infectious disease caused by the bacterium Ehrlichia chaffeensis, primarily transmitted through the bite of infected Amblyomma americanum (Lone Star tick). This disease is characterized by a range of clinical manifestations, including fever, chills, headache, myalgia, and sometimes a rash. The incubation period typically ranges from 7 to 14 days post-exposure. Severe cases may lead to complications such as respiratory failure, renal failure, and even death if not treated promptly. Diagnosis is often made through serological testing or PCR, and treatment usually involves the use of doxycycline. Given its vector-borne nature, Ehrlichiosis is more prevalent in certain geographic regions, particularly in the southeastern and south-central United States, and is often associated with outdoor activities in tick-infested areas. Awareness of this disease is crucial for healthcare providers, especially in endemic regions, to ensure timely diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of vector-borne diseases and their transmission.
  • Differentiation from other rickettsial diseases can be challenging.
  • Clinical presentation may overlap with other febrile illnesses.
  • Documentation must specify exposure history and symptoms.

Audit Risk Factors

  • Inadequate documentation of exposure history.
  • Failure to include serological test results.
  • Misdiagnosis due to symptom overlap with other conditions.
  • Lack of specificity in clinical notes.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including travel and exposure to ticks, laboratory test results.

Common Clinical Scenarios

Patients presenting with fever and history of tick exposure.

Billing Considerations

Ensure all relevant lab tests are documented to support diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Patients with flu-like symptoms after outdoor activities.

Billing Considerations

Documenting travel history and potential tick exposure is crucial.

Coding Guidelines

Inclusion Criteria

Use A77.41 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant laboratory findings and patient history to substantiate the diagnosis of Ehrlichiosis chaffeensis

Exclusion Criteria

Do NOT use A77.41 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

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

Clinical Scenario

Used when confirming diagnosis of Ehrlichiosis.

Documentation Requirements

Document the reason for testing and clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diseases like Ehrlichiosis chaffeensis, improving the accuracy of epidemiological data and enhancing the ability to track disease outbreaks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diseases like Ehrlichiosis chaffeensis, improving the accuracy of epidemiological data and enhancing the ability to track disease outbreaks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diseases like Ehrlichiosis chaffeensis, improving the accuracy of epidemiological data and enhancing the ability to track disease outbreaks.

Resources

Clinical References

  • •
    CDC Ehrlichiosis Information

Coding & Billing References

  • •
    CDC Ehrlichiosis Information

Frequently Asked Questions

What are the common symptoms of Ehrlichiosis chaffeensis?

Common symptoms include fever, chills, headache, myalgia, and sometimes a rash. Symptoms typically appear 7-14 days after a tick bite.

How is Ehrlichiosis diagnosed?

Diagnosis is made through clinical evaluation, patient history of tick exposure, and laboratory tests such as serology or PCR.