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v1.0.0
ICD-10 Guide
ICD-10 CodesA93.0

A93.0

O'nyong-nyong fever

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

Code Description

ICD-10 A93.0 is a billable code used to indicate a diagnosis of o'nyong-nyong fever.

Key Diagnostic Point:

O'nyong-nyong fever is an arthropod-borne viral infection caused by the O'nyong-nyong virus, which is primarily transmitted through the bite of infected mosquitoes, particularly Aedes species. This disease is endemic to certain regions of Africa and is characterized by sudden onset of fever, severe joint pain, and rash. The fever typically lasts for about a week, but the arthralgia can persist for months, leading to significant morbidity. Patients may also experience headache, myalgia, and fatigue. The disease is often confused with other arboviral infections such as chikungunya and dengue fever due to overlapping symptoms. Diagnosis is primarily clinical, supported by serological tests to confirm the presence of the virus. Travel history to endemic areas is crucial for diagnosis, as it helps differentiate O'nyong-nyong fever from other febrile illnesses. While the disease is not typically associated with hemorrhagic manifestations, the potential for misdiagnosis with more severe viral hemorrhagic fevers necessitates careful clinical evaluation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of endemic regions and travel history.
  • Differentiation from other similar arboviral infections.
  • Potential for misdiagnosis with more severe conditions.
  • Documentation of clinical symptoms and serological confirmation.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Failure to differentiate from other arboviral infections.
  • Lack of serological test results in the medical record.
  • Misclassification of the disease severity.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, symptom onset, and serological test results.

Common Clinical Scenarios

Patients presenting with fever and joint pain after travel to endemic regions.

Billing Considerations

Consideration of co-infections with other arboviruses.

Emergency Medicine

Documentation Requirements

Thorough assessment of fever, joint pain, and travel history.

Common Clinical Scenarios

Patients presenting with acute febrile illness after travel.

Billing Considerations

Rapid assessment to rule out more severe conditions.

Coding Guidelines

Inclusion Criteria

Use A93.0 When
  • Follow official ICD
  • 10 coding guidelines for infectious diseases, ensuring accurate documentation of symptoms, travel history, and laboratory results
  • Include any relevant co
  • morbidities or complications

Exclusion Criteria

Do NOT use A93.0 When
No specific exclusions found.

Related CPT Codes

86790CPT Code

Antibody test for viral infections

Clinical Scenario

Used to confirm O'nyong-nyong fever diagnosis.

Documentation Requirements

Document the reason for testing and symptoms.

Specialty Considerations

Infectious disease specialists may order this test.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of O'nyong-nyong fever, improving data collection and epidemiological tracking of this disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of O'nyong-nyong fever, improving data collection and epidemiological tracking of this disease.

Reimbursement & Billing Impact

reimbursement and tracking of infectious diseases.

Resources

Clinical References

  • •
    CDC - O'nyong-nyong Fever

Coding & Billing References

  • •
    CDC - O'nyong-nyong Fever

Frequently Asked Questions

What are the primary symptoms of O'nyong-nyong fever?

The primary symptoms include sudden onset of fever, severe joint pain, rash, headache, and myalgia.

How is O'nyong-nyong fever diagnosed?

Diagnosis is primarily clinical, supported by serological tests to confirm the presence of the O'nyong-nyong virus.

What is the typical duration of symptoms?

Fever usually lasts about a week, but joint pain can persist for months.