Lyme disease, unspecified 2016 2017 2018 2019 2020 2021 Billable/Specific Code A69.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM A69.20 became effective on October 1, 2020.
Video Transcript
Lyme disease is a bacterial infection caused by Borrelia burgdorferi ... It’s best to leave it alone and let the skin heal. Wash your hands thoroughly with soap and water, then clean the skin around the bite, and wash up again. Put the tick in alcohol ...
The first code should be an S code that describes the location of the bite, such as S70. 362A “Insect bite (nonvenomous), left thigh, initial encounter.”
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
In the ICD-10 Index, erythema migrans is linked to A26. 0 for cutaneous erysipeloid which seems to be another specific type of bacterial infection.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
ICD-9 Code Transition: 780.79 Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
*Note: Prior to May 2018, a "no diagnosis or condition" category had been omitted in DSM-5. The DSM-5 Steering Committee subsequently approved the inclusion of this category, and its corresponding ICD-10-CM code, Z03. 89 "No diagnosis or condition," is available for immediate use.
A69. 20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM A69.
What Causes Erythema Migrans? Erythema Migrans is often the first sign of Lyme disease. Lyme disease is caused by the bacteria Borrelia burgdorferi. The bacteria are transmitted to humans through infected deer ticks.
ICD-Code M25. 50 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Pain in Unspecified Joint.
ICD-10 code Z76. 89 for Persons encountering health services in other specified circumstances is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z71.2 as principal diagnosis According to the tabular index, a symbol next to the code indicates that it is an unacceptable principal diagnosis per Medicare code edits. This applies for outpatient and inpatient care.
ICD-Code I10 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Essential (Primary) Hypertension.
The ICD code A692 is used to code Erythema chronicum migrans. Erythema chronicum migrans (New Latin, literally, "chronic migrating redness") refers to the rash often (though not always) seen in the early stage of Lyme disease. It can appear anywhere from one day to one month after a tick bite. This rash does not represent an allergic reaction ...
This means that while there is no exact mapping between this ICD10 code A69.20 and a single ICD9 code, 088.81 is an approximate match for comparison and conversion purposes.
It is a pathognomonic sign: a physician-identified rash warrants an instant diagnosis of Lyme disease and immediate treatment without further testing, even by the strict criteria of the Centers for Disease Control and Prevention.
The external cause code for the bite cannot be used as a primary diagnosis, and Z11.8 is not correct because the patient is not asymptomatic and this encounter would not meet the definition of a screening.
However you have to go by what best represents what the provider is documenting. Also, I'd just add that a tick is an arthropod and not an insect, so an insect bite code it is technically not correct - if the provider is documenting treating a tick bite, I would use the 'other superficial bite' codes for this.