icd-10 code for zika virus

by Deborah Schuster 10 min read

Update October 2016:
ZIKA ICD-10 CodeDescription
A92.5Zika virus disease, Zika virus fever, Zika virus infection, Zika NOS
098.5Other viral diseases complicating pregnancy, childbirth and the puerperium
Q02Congenital abnormality. Includes: hydromicrocephaly and micrencephalon
Oct 13, 2016

What is the Zika virus classified as?

Zika virus is a single-stranded RNA virus of the Flaviviridae family, genus Flavivirus. Zika virus is transmitted to humans primarily through the bite of an infected Aedes species mosquito (Ae. aegypti and Ae.

How should you code a possible or suspected case of Zika virus?

Suspected Zika: If the provider documents “suspected,” “possible,” or “probable” Zika, do not assign code A92. 5. Instead, 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).

What is diagnosis code Z11 8?

ICD-10 code Z11. 8 for Encounter for screening for other infectious and parasitic diseases is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Can Z33 1 be used as a primary diagnosis?

Code Z33. 1 This code is a secondary code only for use when the pregnancy is in no way complicating the reason for visit. Otherwise, a code from the obstetric chapter is required.

How is Zika virus diagnosed?

To diagnose Zika, a doctor or other healthcare provider will ask about any recent travel and any signs and symptoms. They may order blood or urine tests to help determine if you have Zika.

When do you use U07 1?

The following questions and answers were jointly developed and approved by the American Hospital Association's Central Office on ICD-10-CM/PCS and the American Health Information Management Association. ICD-10-CM code U07. 1, COVID-19, may be used for discharges/date of service on or after April 1, 2020.

What does code Z12 31 mean?

For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12.

What is diagnosis code Z31 41?

Encounter for fertility testingZ31. 41 Encounter for fertility testing - ICD-10-CM Diagnosis Codes.

What is diagnosis code Z11 3?

ICD-10 code Z11. 3 for Encounter for screening for infections with a predominantly sexual mode of transmission is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

When do you use code Z33 1?

ICD-10 code Z33. 1 for Pregnant state, incidental is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Can Z76 89 be a primary diagnosis?

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. That is the MDC that the patient will be grouped into.

When do you use code U09 9?

Instructions for coding COVID-19U07.1 COVID-19, virus detected.U07.2 COVID-19, virus not detected.U08.9 COVID-19 in its own medical history, unspecified.U09.9 Post-infectious condition after COVID-19, unspecified.U10.9 Multisystemic inflammatory syndrome associated with COVID-19, unspecified.More items...

When should Z33 1 pregnancy state Incidental be used?

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.

Can you use Z codes as primary diagnosis?

Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed or principal diagnosis.

What is the primary diagnosis?

Definition: The Principal/Primary Diagnosis is the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.

How do you code incidental pregnancy?

ICD-10-CM: general coding and documentation If the pregnancy is incidental to an encounter for a different reason, code Z33. 1 (pregnant state, incidental) is assigned in place of any Chapter 15 codes.

What is the ICD-10 code for Zika?

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.

What is the final digit of Zika?

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, ...

Why is the ICD-10 code important?

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.

When is Zika released?

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.

Is it appropriate to report a Zika patient?

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.

When was Zika first identified?

While monitoring sylvatic yellow fever in rhesus monkeys in 1947, the researchers in Uganda also identified an emerging mosquito borne virus – Zika . In 1952, the Zika virus was identified in humans, first in Uganda and then in Tanzania.

How long does it take for Zika to show symptoms?

Exhibiting symptoms similar to other arbovirus infections like dengue, the symptoms like fever, conjunctivitis, rashes, joint pain and headache are usually mild and last between 2 to 7 days.

Is there a link between Zika and microcephaly?

Authorities have observed an increase in Gullian-Barre syndrome as well as an increase in babies born with microcephaly in Northeast Brazil. Investigations are revealing an increasing body of evidence, relating to the link between the Zika virus and microcephaly.

Does the index include Zika?

The index under the main term for virus has no entry for Zika virus , nor does the index include any options under Zika. Other specified viral diseases come under the code B33.8. However, this lacks information that the condition is mosquito borne.

When will the ICD-10-CM P35.4 be released?

The 2022 edition of ICD-10-CM P35.4 became effective on October 1, 2021.

What does the title of a manifestation code mean?

In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

For calendar year 2018 CMS has adopted the new 2018 AMA CPT® codes for Zika virus testing. For dates of service 1/1/2018 and forward providers should bill using these new codes. For dates of service prior to 1/1/2018 the previous instructions will still apply.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

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