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v1.0.0
ICD-10 Guide
ICD-10 CodesA94

A94

A94 - Dengue fever

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

Code Description

ICD-10 A94 is a billable code used to indicate a diagnosis of a94 - dengue fever.

Key Diagnostic Point:

Dengue fever is a mosquito-borne viral infection caused by the dengue virus, which is transmitted primarily by Aedes aegypti mosquitoes. The disease is endemic in tropical and subtropical regions, and its incidence has been increasing globally. Clinically, dengue fever presents with a sudden onset of high fever, severe headache, retro-orbital pain, myalgia, arthralgia, and rash. In some cases, it can progress to severe dengue, characterized by plasma leakage, hemorrhagic manifestations, and organ impairment. Diagnosis is typically made based on clinical presentation, travel history to endemic areas, and laboratory tests such as serology or PCR. The World Health Organization classifies dengue into three categories: dengue without warning signs, dengue with warning signs, and severe dengue. Management is primarily supportive, focusing on hydration and pain relief, as there is no specific antiviral treatment for dengue. Understanding the epidemiology, clinical features, and potential complications of dengue fever is crucial for accurate diagnosis and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of travel history to endemic areas.
  • Differentiation from other febrile illnesses.
  • Potential for severe manifestations requiring careful documentation.
  • Need for accurate symptom description to determine severity.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Failure to specify the severity of the disease.
  • Misclassification of dengue as another viral illness.
  • Lack of supporting lab results in the medical record.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, symptom onset, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and travel to endemic areas.

Billing Considerations

Ensure documentation reflects the severity and any complications.

Emergency Medicine

Documentation Requirements

Acute presentation details, vital signs, and initial treatment provided.

Common Clinical Scenarios

Patients with acute febrile illness and potential dengue exposure.

Billing Considerations

Timely documentation is critical for accurate coding and management.

Coding Guidelines

Inclusion Criteria

Use A94 When
  • According to ICD
  • 10 guidelines, A94 should be used when the diagnosis of dengue fever is confirmed
  • Coders must ensure that the documentation supports the diagnosis and any associated symptoms or complications

Exclusion Criteria

Do NOT use A94 When
No specific exclusions found.

Related CPT Codes

86769CPT Code

Dengue virus serology

Clinical Scenario

Used when serological testing for dengue is performed.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive lab documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dengue fever, improving the ability to track and manage this disease in clinical settings.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dengue fever, improving the ability to track and manage this disease in clinical settings.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dengue fever, improving the ability to track and manage this disease in clinical settings.

Resources

Clinical References

  • •
    World Health Organization - Dengue and Severe Dengue

Coding & Billing References

  • •
    World Health Organization - Dengue and Severe Dengue

Frequently Asked Questions

What is the primary vector for dengue fever?

The primary vector for dengue fever is the Aedes aegypti mosquito, which transmits the virus to humans.