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v1.0.0
ICD-10 Guide
ICD-10 CodesA87.1

A87.1

Japanese encephalitis

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

Code Description

ICD-10 A87.1 is a billable code used to indicate a diagnosis of japanese encephalitis.

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 agricultural areas of Asia. The disease can lead to severe neurological complications, including encephalitis, which is characterized by inflammation of the brain. Symptoms typically begin with fever, headache, and vomiting, progressing to neurological manifestations such as seizures, altered mental status, and paralysis. The case fatality rate can be as high as 30% in severe cases, with many survivors experiencing long-term neurological sequelae. 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 are at increased risk of exposure. Early diagnosis and supportive care are crucial for improving outcomes in affected individuals. The clinical presentation can vary widely, and not all infected individuals will develop symptoms, making awareness and vaccination critical in endemic areas.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for accurate travel history and exposure assessment
  • Differentiation from other viral CNS infections
  • Documentation of vaccination status and its implications

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to document vaccination status
  • Misclassification of the type of encephalitis
  • Lack of detailed neurological examination findings

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, vaccination status, and clinical findings.

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms after travel to endemic areas.

Billing Considerations

Ensure thorough documentation of exposure risks and vaccination history.

Neurology

Documentation Requirements

Comprehensive neurological examination and imaging results.

Common Clinical Scenarios

Patients with acute encephalitis symptoms requiring differential diagnosis.

Billing Considerations

Document neurological deficits and any long-term sequelae.

Coding Guidelines

Inclusion Criteria

Use A87.1 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of the patient's clinical presentation, travel history, and vaccination status
  • Include any relevant laboratory findings that support the diagnosis

Exclusion Criteria

Do NOT use A87.1 When
No specific exclusions found.

Related CPT Codes

86788CPT Code

Viral serology for Japanese encephalitis

Clinical Scenario

Used when testing for JE in patients with suspected encephalitis.

Documentation Requirements

Document the reason for testing and any relevant 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 accuracy of epidemiological data and facilitating better tracking of vaccination efforts and disease outbreaks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Japanese encephalitis, improving the accuracy of epidemiological data and facilitating better tracking of vaccination efforts and disease outbreaks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Japanese encephalitis, improving the accuracy of epidemiological data and facilitating better tracking of vaccination efforts and disease outbreaks.

Resources

Clinical References

  • •
    CDC Japanese Encephalitis Information

Coding & Billing References

  • •
    CDC Japanese Encephalitis Information

Frequently Asked Questions

What is the primary mode of transmission for Japanese encephalitis?

Japanese encephalitis is primarily transmitted through the bite of infected mosquitoes, particularly in rural areas of Asia.

Is there a vaccine for Japanese encephalitis?

Yes, there is a vaccine available for Japanese encephalitis, recommended for individuals traveling to endemic areas or those at high risk.