Follow This Advice when You Dx Zika Virus Patients

Posted on 10 Feb, 2016 |comments_icon 4|By Chris Boucher

Pregnant women get different ICD-10s than other Zika patients.

News headlines have been swirling around the Zika virus for days now, and it looks like the virus could become an epidemic in the Americas, if not properly contained.

This will cause concern in the general population, of course, but as a coder you need to be ready in the unlikely event that a Zika virus patient walks through your door. 

Do this: Follow this guide to diagnosis codes for the Zika virus, in the unfortunate even that it spreads on your community. 

Use ‘Mosquito-Borne’ ICD-10 for Nonpregnant Patients

“There isn’t an actual code for this particular virus — yet,” says Leslie Johnson, CPC, CSFAC, chief coding officer at PRN Advisors in Palm Coast, Fla.,

“Since it’s a mosquito-borne virus, however, you should probably use A92.8 (Other specified mosquito-borne viral fevers),” Johnson recommends.

The A92.8 code is probably the best option for nonpregnant patients, agrees Catherine Brink, BS, CPC, CMM, CPOM, CMSCS, president of Healthcare Resource Management, Inc. in Spring Lake, N.J.

Best bet: “Since there is not a specific ICD-10 code for Zika virus, a provider may want to contact the insurance carrier” before choosing an ICD-10 code, Brink recommends. 

Look to ‘O’ Category for Pregnant Patients

You won’t want to use the same diagnosis codes for pregnant women, however. As the disease can definitely affect the pregnancy — and the fetus — your best choice is probably O98.51 (Other viral diseases complicating pregnancy), Johnson says.

Again, you should check with your payer before submitting any codes for pregnant patients with Zika virus. While there might be some expert consensus on what the best ICD-10 code might be, you won’t know for sure until you get confirmation from each payer. 

Also: Keep your ear to the ground for official guidance on the Zika virus. If a payer issues any info on Zika virus coding, you’ll want to get it as soon as possible.


Chris Boucher

Chris Boucher has nearly 10 years of experience writing various newsletters and other products for The Coding Institute. His blog will cover several areas of coding and compliance, including CPT® coding, modifiers, HIPAA compliance and ICD-10 coding.

More from this author

View More

4 thoughts on “Follow This Advice when You Dx Zika Virus Patients

  1. I must show my thanks to the writer just for rescuing me from this issue. As a result of surfing around throughout the the web and finding proposals that were not beneficial, I assumed my entire life was well over. Existing devoid of the approaches to the difficulties you have fixed all through your good report is a critical case, as well as the kind that could have in a wrong way damaged my entire career if I hadn’t come across the website. Your good talents and kindness in dealing with the whole thing was invaluable. I’m not sure what I would have done if I had not encountered such a step like this. I’m able to at this moment relish my future. Thanks a lot so much for this high quality and results-oriented guide. I won’t think twice to recommend your web blog to any person who needs guidelines about this subject.

  2. Thanks a lot for providing individuals with remarkably wonderful chance to read critical reviews from this web site. It can be very terrific plus packed with a lot of fun for me personally and my office acquaintances to search the blog at the least thrice in one week to read the new tips you have got. And definitely, we’re certainly fulfilled considering the great concepts served by you. Selected 3 ideas in this post are undeniably the most suitable I’ve had.

  3. I happen to be commenting to make you be aware of what a beneficial discovery my daughter went through checking the blog. She noticed some pieces, which include what it is like to possess an ideal coaching mood to make many people without problems know precisely a variety of grueling matters. You undoubtedly surpassed my expectations. I appreciate you for showing those effective, trusted, revealing and in addition unique thoughts on that topic to Ethel.

Leave a Reply

Newsletter Signup