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v1.0.0
ICD-10 Guide
ICD-10 CodesA83.6

A83.6

Japanese encephalitis virus disease

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

Code Description

ICD-10 A83.6 is a billable code used to indicate a diagnosis of japanese encephalitis virus disease.

Key Diagnostic Point:

Japanese encephalitis (JE) is a viral infection caused by the Japanese encephalitis virus (JEV), primarily transmitted through the bite of infected mosquitoes, particularly in rural areas of Asia and the Western Pacific. The disease can lead to severe neurological complications, including encephalitis, which is characterized by inflammation of the brain. Symptoms may range from mild flu-like signs to severe neurological manifestations such as seizures, altered mental status, and coma. The incubation period typically lasts from 5 to 15 days, and while many infections are asymptomatic, approximately 1 in 250 infections can result in severe disease. Neurological complications can include long-term cognitive deficits, motor dysfunction, and behavioral changes. Vaccination is the most effective preventive measure against JE, especially for individuals traveling to endemic areas or those living in high-risk regions. The vaccine is recommended for children and adults who may be exposed to the virus. Accurate coding of JE is crucial for public health tracking and resource allocation, as well as for ensuring appropriate patient management and follow-up.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied presentation of symptoms ranging from asymptomatic to severe neurological involvement.
  • Need for accurate documentation of vaccination status and exposure history.
  • Differentiation from other viral CNS infections such as West Nile virus and herpes simplex encephalitis.
  • Potential for co-infection with other mosquito-borne viruses.

Audit Risk Factors

  • Inadequate documentation of vaccination status.
  • Failure to document travel history to endemic areas.
  • Misclassification of symptoms as other viral encephalitides.
  • Lack of detailed neurological examination findings.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure, vaccination status, and clinical presentation.

Common Clinical Scenarios

Patients presenting with fever, altered mental status, and neurological symptoms after travel to endemic areas.

Billing Considerations

Ensure thorough documentation of travel history and vaccination to support coding.

Neurology

Documentation Requirements

Comprehensive neurological examination findings and imaging results.

Common Clinical Scenarios

Patients with severe neurological deficits following a febrile illness.

Billing Considerations

Document all neurological assessments and any complications for accurate coding.

Coding Guidelines

Inclusion Criteria

Use A83.6 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's clinical presentation, vaccination status, and travel history
  • Include any relevant laboratory findings that support the diagnosis

Exclusion Criteria

Do NOT use A83.6 When
No specific exclusions found.

Related CPT Codes

86787CPT Code

Japanese encephalitis virus antibody test

Clinical Scenario

Used to confirm diagnosis in suspected cases of JE.

Documentation Requirements

Document the reason for testing and clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of exposure history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Japanese encephalitis, improving the ability to track and manage cases effectively. The granularity of ICD-10 codes facilitates better public health reporting and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Japanese encephalitis, improving the ability to track and manage cases effectively. The granularity of ICD-10 codes facilitates better public health reporting and resource allocation.

Reimbursement & Billing Impact

reimbursement purposes.

Resources

Clinical References

  • •
    CDC Japanese Encephalitis Information

Coding & Billing References

  • •
    CDC Japanese Encephalitis Information

Frequently Asked Questions

What are the symptoms of Japanese encephalitis?

Symptoms can range from mild flu-like signs to severe neurological manifestations, including fever, headache, seizures, and altered mental status. Many cases are asymptomatic.

How is Japanese encephalitis diagnosed?

Diagnosis is based on clinical presentation, history of exposure to endemic areas, and laboratory tests such as serology or PCR to confirm the presence of the virus.

Is there a vaccine for Japanese encephalitis?

Yes, there is a vaccine available that is recommended for individuals traveling to or living in endemic areas.

What is the treatment for Japanese encephalitis?

There is no specific antiviral treatment for JE; management focuses on supportive care, including hospitalization for severe cases.