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v1.0.0
ICD-10 Guide
ICD-10 CodesA95

A95

Yellow fever

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

Code Description

ICD-10 A95 is a billable code used to indicate a diagnosis of yellow fever.

Key Diagnostic Point:

Yellow fever is an acute viral hemorrhagic disease caused by the yellow fever virus, which is transmitted primarily by Aedes mosquitoes. The disease is endemic in tropical regions of Africa and South America. The clinical presentation of yellow fever can range from mild to severe, with symptoms typically appearing 3 to 6 days after infection. Initial symptoms include fever, chills, loss of appetite, muscle pain, and headaches. In severe cases, patients may progress to a toxic phase characterized by abdominal pain, liver damage, and bleeding due to coagulopathy, leading to a high mortality rate. Diagnosis is primarily clinical, supported by serological tests or PCR to confirm the presence of the virus. Vaccination is the most effective preventive measure, and travelers to endemic areas are often required to present proof of vaccination. Given the potential for outbreaks and the severity of the disease, accurate coding and documentation are crucial for public health reporting and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate travel history documentation to establish exposure risk.
  • Differentiation from other viral hemorrhagic fevers.
  • Potential for co-infection with other arboviruses.
  • Variability in clinical presentation requiring thorough assessment.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Failure to document vaccination status.
  • Misdiagnosis due to symptom overlap with other conditions.
  • Lack of serological confirmation in severe cases.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, vaccination records, and clinical findings.

Common Clinical Scenarios

Patients presenting with fever and travel history to endemic areas.

Billing Considerations

Consideration of differential diagnoses and potential co-infections.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms, travel history, and vaccination status.

Common Clinical Scenarios

Patients with acute febrile illness returning from endemic regions.

Billing Considerations

Rapid identification and isolation protocols for suspected cases.

Coding Guidelines

Inclusion Criteria

Use A95 When
  • According to ICD
  • 10 guidelines, A95 should be used for confirmed cases of yellow fever
  • Proper documentation of travel history and vaccination status is essential

Exclusion Criteria

Do NOT use A95 When
  • Exclusion criteria include cases where the diagnosis is not confirmed or where symptoms are attributed to other conditions

Related Codes

Child Codes

3 codes
A95.0
Yellow fever.
A95.1
Yellow fever with visceral involvement
A95.9
Yellow fever, unspecified

Related CPT Codes

90644CPT Code

Yellow fever vaccine administration

Clinical Scenario

Administering the yellow fever vaccine to travelers before visiting endemic areas.

Documentation Requirements

Record of vaccination date and patient consent.

Specialty Considerations

Infectious disease specialists should ensure proper documentation of vaccination status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of yellow fever, improving tracking and reporting of cases, particularly in endemic regions. It emphasizes the importance of travel history and vaccination documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of yellow fever, improving tracking and reporting of cases, particularly in endemic regions. It emphasizes the importance of travel history and vaccination documentation.

Reimbursement & Billing Impact

reimbursement and public health reporting.

Resources

Clinical References

  • •
    CDC Yellow Fever Information

Coding & Billing References

  • •
    CDC Yellow Fever Information

Frequently Asked Questions

What is the importance of documenting travel history for yellow fever?

Documenting travel history is crucial for establishing the risk of exposure to the yellow fever virus, which directly impacts diagnosis, treatment, and public health reporting.