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v1.0.0
ICD-10 Guide
ICD-10 CodesR50.83

R50.83

Postvaccination fever

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R50.83 is a billable code used to indicate a diagnosis of postvaccination fever.

Key Diagnostic Point:

Postvaccination fever is a common and typically benign reaction that occurs following vaccination. It is characterized by an elevation in body temperature, often exceeding 100.4°F (38°C), and can manifest within hours to days after receiving a vaccine. This fever is generally a result of the body's immune response to the vaccine, which stimulates the production of antibodies and activates immune cells. Common vaccines associated with postvaccination fever include those for measles, mumps, rubella (MMR), varicella, and influenza. While postvaccination fever is usually self-limiting and resolves without intervention, it can cause discomfort and anxiety for patients and caregivers. Clinicians should differentiate postvaccination fever from other febrile illnesses, particularly in young children, to avoid unnecessary investigations or treatments. The clinical context of postvaccination fever is essential for proper coding, as it reflects the body's normal immune response rather than an adverse event requiring further medical intervention.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Commonly recognized and documented symptom
  • Clear association with vaccination history
  • Typically self-limiting and benign
  • Standardized diagnostic criteria

Audit Risk Factors

  • Inadequate documentation of vaccination history
  • Misclassification of fever as a more serious condition
  • Failure to specify the vaccine associated with the fever
  • Lack of follow-up documentation if fever persists

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the patient's vaccination history, the specific vaccine administered, and the onset and duration of fever.

Common Clinical Scenarios

Patients presenting with fever shortly after routine vaccinations, particularly in adults receiving influenza or shingles vaccines.

Billing Considerations

Consideration of underlying health conditions that may complicate the fever presentation.

Emergency Medicine

Documentation Requirements

Acute care documentation must include vital signs, vaccination history, and any additional symptoms accompanying the fever.

Common Clinical Scenarios

Patients presenting to the emergency department with fever after vaccination, often accompanied by other symptoms like malaise or irritability.

Billing Considerations

Rapid assessment to rule out other causes of fever, especially in pediatric patients.

Coding Guidelines

Inclusion Criteria

Use R50.83 When
  • According to ICD
  • 10 coding guidelines, R50
  • 83 should be used when the fever is directly attributable to vaccination and not due to other causes
  • Documentation must clearly link the fever to the vaccination event

Exclusion Criteria

Do NOT use R50.83 When
No specific exclusions found.

Related CPT Codes

90460CPT Code

Immunization administration

Clinical Scenario

When a vaccine is administered and postvaccination fever is documented.

Documentation Requirements

Documentation of the vaccine administered and any immediate reactions.

Specialty Considerations

Ensure that the immunization record is complete and linked to any subsequent fever.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of postvaccination reactions, improving the accuracy of data collection and analysis related to vaccine safety and efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of postvaccination reactions, improving the accuracy of data collection and analysis related to vaccine safety and efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of postvaccination reactions, improving the accuracy of data collection and analysis related to vaccine safety and efficacy.

Resources

Clinical References

  • •
    CDC Immunization Schedules

Coding & Billing References

  • •
    CDC Immunization Schedules

Frequently Asked Questions

What should be documented to support the use of R50.83?

Documentation should include the patient's vaccination history, the specific vaccine administered, the date of vaccination, the onset and duration of fever, and any other symptoms present.