Someone helpful has changed the ICD-10 definition to include the word tick, although the ICD-10 definition is “Bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter.” A tick is an arthropod. But, the problem with that is, W57.xxxA is an external cause code.
2018/2019 ICD-10-CM Diagnosis Code S30.863A. Insect bite (nonvenomous) of scrotum and testes, initial encounter. S30.863A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
torsion of testis ( N44.0-) Other and unspecified disorders of male genital organs. ICD-10-CM N50.89 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 729 Other male reproductive system diagnoses with cc/mcc.
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.” So, it isn’t that it is difficult to code for a tick bite, it’s that there are two steps and the super easy, quick search leads providers astray.
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.”
919.4 - Insect bite, nonvenomous, of other, multiple, and unspecified sites, without mention of infection | ICD-10-CM.
Code W57. XXX- (A, D, or S), bitten or stung by nonvenomous insect and other nonvenomous arthropods, is an external cause code used to describe the cause of an injury or other health condition.
Short description: Insect bite NEC. ICD-9-CM 919.4 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 919.4 should only be used for claims with a date of service on or before September 30, 2015.
Ticks are rarely considered as venomous animals despite that tick saliva contains several protein families present in venomous taxa and that many Ixodida genera can induce paralysis and other types of toxicoses.
T07.XXXAT07. XXXA - Unspecified multiple injuries [initial encounter]. ICD-10-CM.
CPT code for tick removal The removal of an outside element (e.g., tick, ring, splinter) that does not require incision is considered part of the management of the problem; therefore, you should simply use an appropriate evaluation and management (E/M) code for the encounter.
Ticks might look like insects, but they're not. They are part of the arachnid family, along with scorpions, mites, and spiders. When a tick bites, it attaches itself to the skin of an animal and sucks blood.
ICD-10-CM Code for Pruritus, unspecified L29. 9.
9: Fever, unspecified.
ICD-10 code A69. 2 for Lyme disease is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
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.
A tick is an arthropod. But, the problem with that is, W57.xxxA is an external cause code.
A tick is an arthropod. But, the problem with that is, W57.xxxA is an external cause code. It may not be submitted in the first position on the claim form, and often it is the only code selected by the provider.
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.