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v1.0.0
ICD-10 Guide
ICD-10 CodesA98.4

A98.4

Crimean-Congo hemorrhagic fever

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

Code Description

ICD-10 A98.4 is a billable code used to indicate a diagnosis of crimean-congo hemorrhagic fever.

Key Diagnostic Point:

Crimean-Congo hemorrhagic fever (CCHF) is a viral disease caused by the Crimean-Congo hemorrhagic fever virus (CCHFV), a member of the Nairovirus genus within the Bunyaviridae family. It is primarily transmitted to humans through tick bites or contact with infected animal blood or tissues. The disease is endemic in parts of Africa, the Balkans, the Middle East, and Central Asia. Symptoms typically begin with fever, myalgia, and dizziness, progressing to more severe manifestations such as hemorrhagic signs, including bleeding from the gums, nose, and gastrointestinal tract. The case fatality rate can be as high as 30%, making it a significant public health concern. Diagnosis is often confirmed through serological tests or PCR assays. Given its potential for outbreaks and the risk of severe disease, healthcare providers must be vigilant, especially in endemic regions or among travelers returning from these areas. Proper coding for CCHF is essential for accurate epidemiological tracking and resource allocation in healthcare settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of endemic regions and travel history.
  • Differentiation from other hemorrhagic fevers.
  • Need for accurate documentation of exposure history.
  • Potential for co-infection with other diseases.

Audit Risk Factors

  • Inadequate documentation of travel history.
  • Failure to document exposure to ticks or infected animals.
  • Misdiagnosis due to symptom overlap with other conditions.
  • Lack of laboratory confirmation in medical records.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, exposure risks, and laboratory confirmation.

Common Clinical Scenarios

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

Billing Considerations

Ensure thorough documentation of symptoms and exposure to facilitate accurate coding.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms, travel history, and potential exposure.

Common Clinical Scenarios

Patients with acute febrile illness and a history of travel to endemic regions.

Billing Considerations

Rapid identification and documentation are crucial for timely intervention.

Coding Guidelines

Inclusion Criteria

Use A98.4 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of travel history, exposure, and clinical symptoms
  • Include any relevant laboratory findings to support the diagnosis

Exclusion Criteria

Do NOT use A98.4 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

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

Clinical Scenario

Used for confirming CCHF diagnosis through PCR testing.

Documentation Requirements

Document the need for testing based on clinical presentation and travel history.

Specialty Considerations

Infectious disease specialists should ensure proper test selection.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diseases like CCHF, improving tracking and management of outbreaks and enhancing epidemiological data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diseases like CCHF, improving tracking and management of outbreaks and enhancing epidemiological data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diseases like CCHF, improving tracking and management of outbreaks and enhancing epidemiological data collection.

Resources

Clinical References

  • •
    CDC Crimean-Congo Hemorrhagic Fever Information

Coding & Billing References

  • •
    CDC Crimean-Congo Hemorrhagic Fever Information

Frequently Asked Questions

What are the primary transmission routes for CCHF?

CCHF is primarily transmitted through tick bites, contact with infected animal blood or tissues, and, in rare cases, human-to-human transmission through bodily fluids.