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ICD-10 Guide
ICD-10 CodesA81.09

A81.09

Other Creutzfeldt-Jakob disease

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

Code Description

ICD-10 A81.09 is a billable code used to indicate a diagnosis of other creutzfeldt-jakob disease.

Key Diagnostic Point:

Creutzfeldt-Jakob disease (CJD) is a rare and fatal neurodegenerative disorder caused by prions, which are misfolded proteins that induce abnormal folding of normal cellular proteins in the brain. Other Creutzfeldt-Jakob disease (A81.09) refers to forms of CJD that do not fall under the classic categories of sporadic, familial, or iatrogenic CJD. Symptoms typically include rapidly progressive dementia, ataxia, myoclonus, and visual disturbances. The disease is characterized by spongiform changes in the brain, leading to severe neurological impairment. Diagnosis is often challenging and relies on clinical evaluation, MRI findings, and cerebrospinal fluid analysis for the presence of 14-3-3 protein. Given the prion nature of the disease, there is no effective treatment, and management focuses on supportive care. Vaccination status is not directly related to CJD, but understanding the patient's overall health and vaccination history can be important in differential diagnosis and management of neurological complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation and progression of the disease.
  • Need for differential diagnosis with other neurological disorders.
  • Limited awareness and understanding of prion diseases among healthcare providers.
  • Potential overlap with other ICD-10 codes related to neurological conditions.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify the type of Creutzfeldt-Jakob disease.
  • Misclassification of the disease type.
  • Lack of supporting diagnostic tests in the medical record.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Comprehensive neurological examination findings, imaging results, and laboratory test results.

Common Clinical Scenarios

Patients presenting with rapidly progressive dementia and neurological deficits.

Billing Considerations

Ensure all diagnostic criteria are met and documented, including exclusion of other conditions.

Infectious Disease

Documentation Requirements

History of exposure to prion diseases, detailed patient history, and laboratory findings.

Common Clinical Scenarios

Patients with suspected prion disease due to exposure history or atypical neurological symptoms.

Billing Considerations

Consideration of other infectious causes of neurological symptoms and thorough documentation of exposure history.

Coding Guidelines

Inclusion Criteria

Use A81.09 When
  • According to ICD
  • 10 coding guidelines, A81
  • 09 should be used when the specific type of Creutzfeldt
  • Jakob disease is not classified elsewhere
  • Coders must ensure that the diagnosis is supported by clinical documentation and diagnostic tests

Exclusion Criteria

Do NOT use A81.09 When
No specific exclusions found.

Related CPT Codes

CPT 99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits in patients with diagnosed CJD.

Documentation Requirements

Detailed history and examination findings must be documented.

Specialty Considerations

Neurology specialists should ensure comprehensive documentation of neurological assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of prion diseases, improving the accuracy of data collection and epidemiological tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of prion diseases, improving the accuracy of data collection and epidemiological tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of prion diseases, improving the accuracy of data collection and epidemiological tracking.

Resources

Clinical References

  • •
    CDC Prion Disease Information

Coding & Billing References

  • •
    CDC Prion Disease Information

Frequently Asked Questions

What are the common symptoms of Other Creutzfeldt-Jakob disease?

Common symptoms include rapidly progressive dementia, ataxia, myoclonus, and visual disturbances. Patients may also experience personality changes and other neurological deficits.