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v1.0.0
ICD-10 Guide
ICD-10 CodesB08.3

B08.3

Acute respiratory infection due to enterovirus

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

Code Description

ICD-10 B08.3 is a billable code used to indicate a diagnosis of acute respiratory infection due to enterovirus.

Key Diagnostic Point:

Acute respiratory infections caused by enteroviruses are viral infections that primarily affect the respiratory system. Enteroviruses are a group of viruses that include coxsackieviruses, echoviruses, and enterovirus D68, among others. These infections can lead to symptoms such as fever, cough, sore throat, and difficulty breathing. In some cases, enterovirus infections can progress to more severe respiratory illnesses, particularly in young children, the elderly, and individuals with compromised immune systems. The transmission of enteroviruses occurs through respiratory droplets, direct contact with contaminated surfaces, or fecal-oral routes. Diagnosis is typically based on clinical presentation and may be confirmed through laboratory testing, including PCR assays. Management is primarily supportive, focusing on symptom relief, hydration, and monitoring for complications. Vaccination against enteroviruses is not currently available, making prevention through hygiene practices essential. Complications can include pneumonia, bronchiolitis, and exacerbation of underlying respiratory conditions such as asthma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of enterovirus strains causing similar symptoms
  • Need for laboratory confirmation in some cases
  • Differentiation from other viral respiratory infections
  • Potential for severe complications in high-risk populations

Audit Risk Factors

  • Inadequate documentation of symptoms and duration
  • Failure to specify the enterovirus strain when known
  • Misclassification with other respiratory infections
  • Lack of laboratory confirmation in severe cases

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of symptoms, physical examination findings, and any laboratory results.

Common Clinical Scenarios

Children presenting with fever, cough, and respiratory distress during enterovirus outbreaks.

Billing Considerations

Consideration of the child's vaccination history and any underlying health conditions.

Infectious Disease

Documentation Requirements

Comprehensive documentation of the patient's clinical history, laboratory findings, and treatment response.

Common Clinical Scenarios

Patients with severe respiratory symptoms requiring hospitalization and further investigation.

Billing Considerations

Need for detailed reporting of co-infections and complications.

Coding Guidelines

Inclusion Criteria

Use B08.3 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of symptoms, laboratory results, and any complications
  • Include specific details about the patient's clinical presentation and history

Exclusion Criteria

Do NOT use B08.3 When
No specific exclusions found.

Related CPT Codes

87529CPT Code

Enterovirus PCR testing

Clinical Scenario

Used when laboratory confirmation of enterovirus is required.

Documentation Requirements

Document the reason for testing and clinical symptoms.

Specialty Considerations

Infectious disease specialists may require additional details on the patient's history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of enterovirus-related respiratory infections, improving data accuracy and facilitating better tracking of viral outbreaks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of enterovirus-related respiratory infections, improving data accuracy and facilitating better tracking of viral outbreaks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of enterovirus-related respiratory infections, improving data accuracy and facilitating better tracking of viral outbreaks.

Resources

Clinical References

  • •
    CDC Enterovirus Information

Coding & Billing References

  • •
    CDC Enterovirus Information

Frequently Asked Questions

What are the common symptoms of an enterovirus respiratory infection?

Common symptoms include fever, cough, sore throat, runny nose, and in severe cases, wheezing or difficulty breathing.

Is there a vaccine for enterovirus?

Currently, there is no vaccine available for enteroviruses, making preventive measures such as hand hygiene essential.