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ICD-10 Guide
ICD-10 CodesA96

A96

A96: Arenaviral hemorrhagic fever

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

Code Description

ICD-10 A96 is a billable code used to indicate a diagnosis of a96: arenaviral hemorrhagic fever.

Key Diagnostic Point:

Arenaviral hemorrhagic fever is a severe viral illness caused by arenaviruses, which are primarily transmitted through contact with infected rodents or their excreta. The disease is characterized by fever, hemorrhagic manifestations, and multi-organ involvement. Symptoms typically begin with a sudden onset of fever, malaise, and myalgia, followed by gastrointestinal symptoms such as nausea, vomiting, and abdominal pain. As the disease progresses, patients may develop bleeding tendencies, including petechiae, purpura, and gastrointestinal bleeding. The condition can lead to severe complications, including shock and organ failure, particularly in immunocompromised individuals. Arenaviral infections are endemic in certain regions, particularly in parts of Africa and South America, making travel history crucial for diagnosis. Laboratory confirmation is essential, often requiring serological tests or PCR to identify the specific arenavirus responsible for the infection. Given the potential for outbreaks and the severity of the disease, prompt recognition and reporting are critical for public health management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of specific arenaviruses and their geographic prevalence.
  • Differentiation from other viral hemorrhagic fevers can be challenging.
  • Documentation of travel history is essential for accurate coding.
  • Clinical presentation may overlap with other conditions, necessitating careful review.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Failure to include laboratory confirmation in the medical record.
  • Misclassification with other hemorrhagic fevers.
  • Lack of detailed clinical notes regarding symptom progression.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, symptom onset, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and bleeding after travel to endemic areas.

Billing Considerations

Consideration of co-infections and differential diagnoses is crucial.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms and travel history.

Common Clinical Scenarios

Patients with acute febrile illness and potential exposure to arenaviruses.

Billing Considerations

Rapid identification and isolation protocols may be necessary.

Coding Guidelines

Inclusion Criteria

Use A96 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of symptoms, travel history, and laboratory results
  • Include any relevant co
  • morbid conditions that may affect treatment and outcomes

Exclusion Criteria

Do NOT use A96 When
No specific exclusions found.

Related Codes

Child Codes

5 codes
A96.0
Dengue hemorrhagic fever
A96.1
Meningococcal spondylitis
A96.2
A96.2 Crimean-Congo hemorrhagic fever
A96.8
Other specified mosquito-borne viral fevers
A96.9
Unspecified viral hemorrhagic fever.

Related CPT Codes

87470CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); direct probe technique

Clinical Scenario

Used for confirming arenavirus infection in patients with suspected hemorrhagic fever.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists should ensure proper specimen handling and testing protocols.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of arenaviral hemorrhagic fever, improving data collection and public health reporting. It emphasizes the importance of detailed documentation and accurate coding practices.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of arenaviral hemorrhagic fever, improving data collection and public health reporting. It emphasizes the importance of detailed documentation and accurate coding practices.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Arenavirus Information

Coding & Billing References

  • •
    CDC Arenavirus Information

Frequently Asked Questions

What are the common symptoms of arenaviral hemorrhagic fever?

Common symptoms include fever, malaise, myalgia, gastrointestinal symptoms, and bleeding tendencies such as petechiae and purpura.

How is arenaviral hemorrhagic fever diagnosed?

Diagnosis is made based on clinical presentation, travel history to endemic areas, and laboratory confirmation through serological tests or PCR.