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ICD-10 Guide
ICD-10 CodesA84.89

A84.89

Other tick-borne viral encephalitis

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

Code Description

ICD-10 A84.89 is a billable code used to indicate a diagnosis of other tick-borne viral encephalitis.

Key Diagnostic Point:

Other tick-borne viral encephalitis refers to a group of viral infections that affect the central nervous system (CNS) and are transmitted through tick bites. These infections can lead to severe neurological complications, including encephalitis, which is characterized by inflammation of the brain. Symptoms may include fever, headache, confusion, seizures, and neurological deficits. The condition is often associated with specific viruses such as the Powassan virus and other less common tick-borne viruses. Diagnosis typically involves clinical evaluation, serological testing, and sometimes lumbar puncture to analyze cerebrospinal fluid (CSF). Vaccination status is crucial, as vaccines are available for some tick-borne viruses, such as the Japanese encephalitis virus, but not for all. Understanding the patient's vaccination history can aid in diagnosis and management. Treatment is primarily supportive, focusing on alleviating symptoms and managing complications. Given the potential for severe outcomes, timely recognition and appropriate coding of this condition are essential for effective patient management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of tick-borne viruses that can cause similar symptoms.
  • Need for precise documentation of neurological symptoms.
  • Differentiation from other viral encephalitides.
  • Potential for co-infections with other tick-borne diseases.

Audit Risk Factors

  • Inadequate documentation of neurological symptoms.
  • Failure to specify the type of tick-borne virus.
  • Misclassification with other viral encephalitides.
  • Lack of vaccination history documentation.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure to ticks, vaccination status, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms after a tick bite.

Billing Considerations

Consideration of co-infections and the need for serological testing.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and CSF analysis.

Common Clinical Scenarios

Patients with acute encephalitis symptoms requiring neurological evaluation.

Billing Considerations

Documentation of neurological deficits and their progression.

Coding Guidelines

Inclusion Criteria

Use A84.89 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the patient's clinical presentation and history
  • Include specific details about the type of tick
  • borne virus when known
  • borne viral encephalitis

Exclusion Criteria

Do NOT use A84.89 When
  • Exclude conditions that do not meet the criteria for tick

Related CPT Codes

87491CPT Code

Viral testing for tick-borne diseases

Clinical Scenario

Used when testing for specific tick-borne viruses.

Documentation Requirements

Document the reason for testing and clinical symptoms.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing.

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 accuracy of data collection and reimbursement processes. This specificity aids in better tracking of disease prevalence and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tick-borne viral encephalitis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of disease prevalence and outcomes.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of disease prevalence and outcomes.

Resources

Clinical References

  • •
    CDC Tickborne Diseases of the United States

Coding & Billing References

  • •
    CDC Tickborne Diseases of the United States

Frequently Asked Questions

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

Common symptoms include fever, headache, confusion, seizures, and neurological deficits. Symptoms can vary based on the specific virus involved.