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ICD-10 Guide
ICD-10 CodesB08.6

B08.6

Acute respiratory infection due to enterovirus

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

Code Description

ICD-10 B08.6 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 can cause a range of illnesses, from mild respiratory symptoms to severe respiratory distress. Common symptoms include fever, sore throat, cough, and nasal congestion. In some cases, enteroviruses can lead to more severe complications such as pneumonia or exacerbation of underlying respiratory conditions like asthma. The transmission of enteroviruses occurs through respiratory droplets, direct contact with infected surfaces, or fecal-oral routes. Diagnosis is typically made based on clinical presentation and may be confirmed through laboratory testing. Treatment is generally supportive, focusing on symptom relief, as there are no specific antiviral therapies for enterovirus infections. Vaccination is not currently available for enteroviruses, making prevention through hygiene practices essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of enterovirus strains causing similar symptoms
  • Overlap with other respiratory infections
  • Need for laboratory confirmation in some cases
  • Potential for severe complications requiring additional coding

Audit Risk Factors

  • Inadequate documentation of viral testing
  • Misclassification of respiratory infections
  • Failure to document complications
  • Lack of specificity in symptom descriptions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of symptoms, laboratory results, and treatment plans.

Common Clinical Scenarios

Children presenting with fever, cough, and respiratory distress.

Billing Considerations

Consideration of underlying conditions such as asthma or immunocompromised status.

Infectious Disease

Documentation Requirements

Comprehensive documentation of viral testing and patient history.

Common Clinical Scenarios

Patients with severe respiratory symptoms requiring hospitalization.

Billing Considerations

Need for detailed reporting of complications and co-infections.

Coding Guidelines

Inclusion Criteria

Use B08.6 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the viral cause and any complications
  • Include relevant symptoms and laboratory findings to support the diagnosis

Exclusion Criteria

Do NOT use B08.6 When
No specific exclusions found.

Related CPT Codes

87430CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); enterovirus

Clinical Scenario

Used when laboratory testing confirms enterovirus infection.

Documentation Requirements

Documentation of the test performed and results.

Specialty Considerations

Infectious disease specialists should ensure accurate reporting of test results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of enterovirus infections, improving the accuracy of epidemiological data and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of enterovirus infections, improving the accuracy of epidemiological data and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of enterovirus infections, improving the accuracy of epidemiological data and treatment tracking.

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, nasal congestion, and in some cases, wheezing or difficulty breathing.

Is there a vaccine for enterovirus?

Currently, there is no vaccine available for enteroviruses, making prevention through hygiene practices essential.