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v1.0.0
ICD-10 Guide
ICD-10 CodesB06.02

B06.02

Rubella meningitis

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

Code Description

ICD-10 B06.02 is a billable code used to indicate a diagnosis of rubella meningitis.

Key Diagnostic Point:

Rubella meningitis is a viral infection characterized by inflammation of the protective membranes covering the brain and spinal cord, caused by the rubella virus. This condition typically arises in individuals who have contracted rubella, a contagious viral disease known for its characteristic rash and fever. While rubella is often mild in children, it can lead to serious complications in adults, including meningitis. Symptoms of rubella meningitis may include fever, headache, neck stiffness, and altered mental status. Diagnosis is primarily clinical, supported by serological testing for rubella-specific IgM antibodies. The incidence of rubella meningitis has significantly decreased in regions with high vaccination coverage due to the MMR (measles, mumps, rubella) vaccine. However, outbreaks can still occur, particularly in unvaccinated populations. Complications can include neurological deficits and, in severe cases, can lead to long-term disability. Prompt recognition and management are crucial to mitigate these risks.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of viral meningitis versus other types of meningitis.
  • Need for accurate serological testing documentation.
  • Potential for misclassification with other viral infections.
  • Consideration of vaccination history in coding.

Audit Risk Factors

  • Inadequate documentation of vaccination status.
  • Failure to document serological test results.
  • Misdiagnosis or coding of rubella without meningitis.
  • Lack of clarity in clinical notes regarding symptoms.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on symptoms, laboratory results, and vaccination history.

Common Clinical Scenarios

Patients presenting with fever and neurological symptoms following rubella infection.

Billing Considerations

Ensure serological testing results are included in documentation.

Neurology

Documentation Requirements

Neurological examination findings and imaging results if applicable.

Common Clinical Scenarios

Patients with altered mental status and signs of meningitis.

Billing Considerations

Document any differential diagnoses considered.

Coding Guidelines

Inclusion Criteria

Use B06.02 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the rubella virus as the causative agent
  • Include any relevant symptoms and laboratory findings

Exclusion Criteria

Do NOT use B06.02 When
  • Exclude other viral meningitis codes unless applicable

Related CPT Codes

86765CPT Code

Rubella antibody test

Clinical Scenario

Used to confirm rubella infection in patients presenting with meningitis symptoms.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing is performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rubella-related conditions, improving data accuracy and facilitating better tracking of viral infections and their complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rubella-related conditions, improving data accuracy and facilitating better tracking of viral infections and their complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rubella-related conditions, improving data accuracy and facilitating better tracking of viral infections and their complications.

Resources

Clinical References

  • •
    CDC Rubella Information

Coding & Billing References

  • •
    CDC Rubella Information

Frequently Asked Questions

What is the significance of documenting vaccination history for rubella meningitis?

Documenting vaccination history is crucial as it helps differentiate between vaccinated and unvaccinated individuals, which can impact the severity of the disease and the likelihood of complications.