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ICD-10 Guide
ICD-10 CodesA79.1

A79.1

Severe acute respiratory syndrome (SARS)

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

Code Description

ICD-10 A79.1 is a billable code used to indicate a diagnosis of severe acute respiratory syndrome (sars).

Key Diagnostic Point:

Severe Acute Respiratory Syndrome (SARS) is a viral respiratory illness caused by the SARS coronavirus (SARS-CoV). First identified in 2003 during an outbreak in Asia, SARS is characterized by fever, cough, and difficulty breathing, often leading to pneumonia. The disease is primarily transmitted through respiratory droplets when an infected person coughs or sneezes, and it can also spread via contact with contaminated surfaces. The incubation period for SARS typically ranges from 2 to 10 days, with most cases presenting within 5 to 7 days after exposure. Patients may experience a range of symptoms, including high fever, chills, muscle aches, and gastrointestinal symptoms. Severe cases can lead to acute respiratory distress syndrome (ARDS) and require hospitalization. Diagnosis is confirmed through laboratory testing, including PCR assays and serological tests. Due to its potential for rapid transmission and severe outcomes, SARS is classified as a notifiable disease, necessitating public health reporting and surveillance. Management focuses on supportive care, isolation of infected individuals, and preventive measures to control outbreaks. Understanding the epidemiology of SARS, including its vector-borne transmission and travel-related infections, is crucial for healthcare providers and coders alike.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of viral transmission and public health implications.
  • Differentiation from other respiratory illnesses like COVID-19 and influenza.
  • Need for accurate documentation of travel history and exposure.
  • Potential for co-infection with other respiratory pathogens.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Failure to specify the severity of symptoms.
  • Misclassification with other respiratory infections.
  • Lack of laboratory confirmation in medical records.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, exposure risk assessment, and laboratory test results.

Common Clinical Scenarios

Patients presenting with respiratory symptoms after travel to endemic areas.

Billing Considerations

Need for thorough documentation of symptom onset and progression.

Pulmonology

Documentation Requirements

Clinical findings from respiratory examinations and imaging studies.

Common Clinical Scenarios

Patients with severe respiratory distress requiring hospitalization.

Billing Considerations

Documentation of ARDS and other complications is critical for accurate coding.

Coding Guidelines

Inclusion Criteria

Use A79.1 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate coding based on clinical documentation
  • Include specific details regarding the patient's travel history and exposure to known cases
  • diagnosed

Exclusion Criteria

Do NOT use A79.1 When
  • Exclude codes for other viral respiratory infections unless co

Related CPT Codes

87631CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); SARS-CoV

Clinical Scenario

Used when testing for SARS-CoV in patients with respiratory symptoms.

Documentation Requirements

Document the reason for testing and any relevant travel history.

Specialty Considerations

Infectious disease specialists should ensure thorough documentation of exposure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of SARS, improving data collection and public health reporting. It emphasizes the importance of detailed documentation regarding travel and exposure history.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of SARS, improving data collection and public health reporting. It emphasizes the importance of detailed documentation regarding travel and exposure history.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of SARS, improving data collection and public health reporting. It emphasizes the importance of detailed documentation regarding travel and exposure history.

Resources

Clinical References

  • •
    CDC SARS Information

Coding & Billing References

  • •
    CDC SARS Information

Frequently Asked Questions

What is the primary mode of transmission for SARS?

SARS is primarily transmitted through respiratory droplets from an infected person, as well as through contact with contaminated surfaces.

How can coders ensure accurate coding for SARS?

Coders should ensure thorough documentation of travel history, exposure to known cases, and laboratory confirmation to accurately code SARS.