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ICD-10 Guide
ICD-10 CodesA84.8

A84.8

Other specified tick-borne viral encephalitis

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

Code Description

ICD-10 A84.8 is a billable code used to indicate a diagnosis of other specified tick-borne viral encephalitis.

Key Diagnostic Point:

Tick-borne viral encephalitis (TBE) is a viral infection that affects the central nervous system, primarily transmitted through the bite of infected ticks. The condition can lead to severe neurological complications, including meningitis, encephalitis, and myelitis. Symptoms often begin with flu-like manifestations such as fever, headache, and fatigue, followed by neurological symptoms like confusion, seizures, and motor deficits. The severity of the disease can vary, with some patients recovering completely while others may experience long-term neurological sequelae. Vaccination is available and recommended for individuals in endemic areas, but not all patients may be vaccinated, which can influence the clinical presentation and management of the disease. Accurate coding of A84.8 is crucial for tracking epidemiological data and ensuring appropriate treatment and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of tick-borne viruses that can cause encephalitis.
  • Differentiation from other viral CNS infections.
  • Need for detailed patient history regarding exposure and vaccination status.
  • Potential for overlapping symptoms with other neurological conditions.

Audit Risk Factors

  • Inadequate documentation of exposure history.
  • Failure to specify the type of tick-borne virus.
  • Lack of clarity on vaccination status.
  • Misclassification of symptoms as non-specific viral illness.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including travel and exposure history, vaccination status, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms after tick exposure.

Billing Considerations

Consideration of co-infections and other viral etiologies.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and detailed symptomatology.

Common Clinical Scenarios

Patients with acute encephalitis symptoms requiring neurological evaluation.

Billing Considerations

Documentation of neurological deficits and their impact on daily functioning.

Coding Guidelines

Inclusion Criteria

Use A84.8 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the patient's clinical presentation and history
  • Include details on the type of tick exposure, vaccination status, and any neurological complications

Exclusion Criteria

Do NOT use A84.8 When
  • Exclude codes for other viral encephalitides unless specified

Related CPT Codes

87491CPT Code

Viral testing for tick-borne encephalitis

Clinical Scenario

Used when testing for specific viral pathogens in suspected cases of TBE.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing for differential diagnoses.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tick-borne viral encephalitis, improving the ability to track and manage cases. A84.8 provides granularity that was not available in ICD-9, facilitating better epidemiological data collection and patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tick-borne viral encephalitis, improving the ability to track and manage cases. A84.8 provides granularity that was not available in ICD-9, facilitating better epidemiological data collection and patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tick-borne viral encephalitis, improving the ability to track and manage cases. A84.8 provides granularity that was not available in ICD-9, facilitating better epidemiological data collection and patient management.

Resources

Clinical References

  • •
    CDC Tick-Borne Diseases

Coding & Billing References

  • •
    CDC Tick-Borne Diseases

Frequently Asked Questions

What are the common symptoms of tick-borne viral encephalitis?

Common symptoms include fever, headache, fatigue, and neurological symptoms such as confusion, seizures, and motor deficits.

How is tick-borne viral encephalitis diagnosed?

Diagnosis is typically made through clinical evaluation, serological testing, and lumbar puncture to analyze cerebrospinal fluid.

Is there a vaccine for tick-borne viral encephalitis?

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