2025 ICD-10-CM code A08
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Infectious Disease - Intestinal infectious diseases Certain infectious and parasitic diseases (A00-B99) Feed
Viral and other specified intestinal infections.
Not applicable to ICD-10 codes.
Medical necessity is established by the presence of symptoms consistent with viral gastroenteritis and the need for medical intervention, such as rehydration or management of complications.
The clinical responsibility includes diagnosing the infection based on symptoms, history, and physical examination, ruling out bacterial or parasitic causes, and managing the patient's symptoms with supportive care such as rehydration and symptom management.Education on prevention may be included.
In simple words: This code is for a viral infection of the intestines, also known as viral gastroenteritis or stomach flu.It covers various viruses that cause intestinal problems, like diarrhea and vomiting, but not specific types like rotavirus or norovirus.
This ICD-10-CM code encompasses viral and other specified intestinal infections not elsewhere classified.It includes various viral gastroenteritis types not specifically detailed within this code category, such as those caused by viruses other than rotavirus or Norwalk virus. The code excludes influenza with gastrointestinal involvement (coded elsewhere), and it's crucial to differentiate viral infections from bacterial or parasitic causes.
Example 1: A 25-year-old presents with nausea, vomiting, diarrhea, and abdominal cramping for 24 hours.Physical exam reveals dehydration.Laboratory tests are negative for bacterial or parasitic pathogens. A08 is coded. , A 5-year-old child is admitted with severe vomiting and diarrhea, resulting in significant dehydration.Stool testing does not identify specific viral pathogens. A08 is coded pending further lab testing., A 60-year-old with a history of inflammatory bowel disease experiences a viral gastroenteritis exacerbation.A08 is used as a secondary code to indicate the viral infection in addition to the underlying IBD code.
Detailed patient history, including onset, duration, and severity of symptoms; physical exam findings; laboratory test results (to rule out other causes); and details regarding treatment provided.
** A08 is a broad code; it's vital to document thoroughly to justify its use. Consider using additional codes to capture specific symptoms (e.g., dehydration, electrolyte imbalance) or complications (e.g., pancreatitis, hepatic failure).
- Revenue Code: Revenue codes will vary based on the specific services provided and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes. Reimbursement is determined by the procedures and services rendered, which are coded using CPT or HCPCS codes.
- Global Days : Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule : Not applicable to ICD-10 codes.
- Specialties:Gastroenterology, Pediatrics, Internal Medicine, Family Medicine
- Place of Service:Office, Urgent Care Facility, Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital