ZIKA ICD-10 Code | Description |
---|---|
A92.5 | Zika virus disease, Zika virus fever, Zika virus infection, Zika NOS |
098.5 | Other viral diseases complicating pregnancy, childbirth and the puerperium |
Q02 | Congenital abnormality. Includes: hydromicrocephaly and micrencephalon |
Congenital Zika virus disease. P35.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM P35.4 is a new 2019 ICD-10-CM code that became effective on October 1, 2018.
P35.4 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 P35.4 became effective on October 1, 2021.
The ICD-10 diagnosis codes of O98.511 (other viral diseases complicating pregnancy, first trimester) and A92.8 (other specified mosquito-borne viral fevers) would be reported. Michael Granovsky, MD, FACEP, president of coding for LogixHealth.
A92.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM A92.5 became effective on October 1, 2018. This is the American ICD-10-CM version of A92.5 - other international versions of ICD-10 A92.5 may differ.
Currently, there is no specified ICD-10 code for Zika, and until there is a specific code available, the ICD-10 code A92. 8 (other specified mosquito-borne viral fevers) may be reported.
Classification. Zika virus is a member of a family of viruses known as Flaviviruses. This is the same family to which dengue virus, yellow fever virus, and West Nile virus belong. Flaviviruses are enveloped viruses that contain genomes which consist of nonsegmented single-stranded positive-sense RNA.
ICD-10 code Z36 for Encounter for antenatal screening of mother is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
O09. 90 - Supervision of high risk pregnancy, unspecified, unspecified trimester. ICD-10-CM.
Zika virus disease must be reported to MDH within one working day.
Congenital Zika syndrome is a group of birth defects associated with Zika infection during pregnancy. Zika is a virus. If you get infected with Zika during pregnancy, the virus can pass through the placenta to your baby.
Pregnancy Test: CPT Code 81025 for human chorionic gonadotropin (hCG) urine testing performed in the office should be reported on a claim any time the test is performed.
V72. 40 - Pregnancy examination or test, pregnancy unconfirmed | ICD-10-CM.
The only exception to this is if a pregnant woman is seen for an unrelated condition. In such cases, code Z33. 1 Pregnant State, Incidental should be used after the primary reason for the visit.
For high-risk and complications of pregnancy, use the code from Chapter 15, another code for pre-existing conditions, if any, and the weeks of gestation code. It would seem that if your Medicaid program wants the visits billed as they happen, it is more likely that you'll be paid.
A pregnancy is divided into three stages called trimesters: first trimester, second trimester, and third trimester. A trimester lasts between 12 and 14 weeks, while a full-term pregnancy lasts around 40 weeks from the first day of a woman's last period.
A high-risk pregnancy is a pregnancy that involves increased health risks for the pregnant person, unborn baby or both. Certain health conditions and your age (being over 35 or under 17 when pregnant) can make a pregnancy high risk. These pregnancies require close monitoring to reduce the chance of complications.
The adoption of the code will be voted on during the WHO-FIC annual meeting in October 2016. NCHS/CDC is therefore proposing the new code for inclusion in ICD-10-CM, effective October 1, 2016, to be consistent with the planned WHO ICD-10 update. According to the experts at CDC, the science has not been confirmed regarding the relationship between Zika and congenital deformities such as microcephaly. For that reason, an ICD-10-CM code will not be created until the relationship can be scientifically confirmed.
Of particular interest to the ZIKA virus is Chapter 1, Certain Infectious and Parasitic Diseases (A00-B99), where we see “Zika virus infections guidance.” Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as documented by the provider. In this context, “confirmation” does not require documentation of the type of test performed; the physician’s diagnostic statement that the condition is confirmed is sufficient. This code should be assigned regardless of the stated mode of transmission. If the provider documents “suspected,” “possible,” or “probable” Zika, do not assign code A92.5. Assign a code (s) explaining the reason for encounter (such as fever, rash, or joint pain) or Z20.828, Contact with and (suspected) exposure to other viral communicable diseases.
For pregnant women who have contracted the virus, 098 is the ICD-10 code for “all maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium.”. Included in this code series is 098.5, “other viral diseases complicating pregnancy, childbirth and the puerperium,” with an additional ...
However, not all ZIKA infections result in elevations of body temperature. Besides fever, common ZIKA virus symptoms to code for include maculopapular rash, arthralgia (joint pain), conjunctivitis (pink eye), myalgia (muscular pain) and headache.
There is a code freeze for any new ICD-10 codes until October 2016 and it is unlikely that the CDC will update the code base for the Zika virus. Thus, while not perfect, the noted ICD-10 codes above are sufficient billable codes. The Practice Fusion EHR has a very intuitive interface to easily find and report on ICD-10 codes.
Neither ICD-9 nor ICD-10 include specific codes for the Zika virus, making it more difficult than necessary for the WHO, the Centers for Disease Control and Prevention (CDC), and others to track the illness worldwide. The recent spread of Zika virus disease necessitated the need to monitor the disease with a separate code that allows tracking cases of the Zika virus disease. In ICD-9, coders reported code 066.3 (mosquito-borne fever NEC) and in ICD-10, coders report code A92.8 (other specified mosquito-borne viral fevers).
Currently, there is no specified ICD-10 code for Zika, and until there is a specific code available, the ICD-10 code A92.8 (other specified mosquito-borne viral fevers) may be reported. This less-specific code is not very effective for tracking the spread of Zika. There is a proposed code (A92.5) for the 2016 ICD-10 annual release. However, it cannot be used until it is officially released in October.
For patients diagnosed with Zika during pregnancy, providers should report O98.5X (other viral diseases complicating pregnancy, childbirth, and the puerperium). The final digit indicates the trimester (1 for first, 2 for second, 3 for third). For example, a patient who is six weeks’ pregnant is treated for fever, myalgia, ...
While ICD-10 diagnosis codes are important for coding and billing purposes to communicate the necessity of the care provided, the codes also fill a critical role in facilitating epidemiologic tracking. The World Health Organization has been using ICD-10 codes to track disease and injuries for years. When a novel disease such as Zika virus becomes clinically important, a key component of tracking the disease is to develop, approve, and release an ICD-10 diagnosis code that facilitates disease incidence calculations and the identification of patient-specific details.
However, it cannot be used until it is officially released in October. Patients with suspected Zika may present with symptoms such as fever, maculopapular rash, arthralgia, conjunctivitis, headache, and myalgia, which should be reported when the disease is not confirmed.
CPT codes are updated annually, typically on Jan. 1, and describe the cognitive and procedural care provided by emergency physicians. ICD diagnosis codes are also updated annually, but rather than on a calendar-year cycle, new codes become effective on Oct. 1. While ICD-10 diagnosis codes are important for coding and billing purposes ...
Reporting Zika would not be appropriate. On the other hand, if the patient is formally diagnosed with Zika, then A92.8 (other specified mosquito-borne viral fevers) should be reported until such time as a formal Zika diagnostic code is available.