2025 ICD-10-CM code A36.8
(Active) Effective Date: N/A Infectious and parasitic diseases - Other bacterial diseases Certain infectious and parasitic diseases Feed
This code represents a diagnosis of diphtheria that is not specified elsewhere in the A36 category.
Medical necessity for the treatment of diphtheria is established by the diagnosis itself.Prompt treatment is crucial to prevent severe complications.
Clinicians diagnose diphtheria based on patient symptoms (sore throat, weakness, fever, swollen neck glands, difficulty breathing and swallowing), exposure history, and physical exam.Laboratory tests analyzing a throat swab confirm the presence of Corynebacterium diphtheriae.Treatment involves administering diphtheria antitoxin and antibiotics, and isolating the patient to prevent spread.
- Certain infectious and parasitic diseases
- A36 - DiphtheriaA36.0 - Pharyngeal diphtheriaA36.1 - Nasopharyngeal diphtheriaA36.2 - Laryngeal diphtheriaA36.3 - Cutaneous diphtheriaA36.8 - Other diphtheriaA36.9 - Diphtheria, unspecified
In simple words: This code indicates you have a type of diphtheria infection that isn't described by other, more specific diphtheria codes. Diphtheria is a serious bacterial infection usually affecting the throat and sometimes the skin. It can cause breathing problems, heart failure, paralysis, and even death.
Diphtheria is an infection caused by the bacterium Corynebacterium diphtheriae.It primarily affects the upper respiratory system, often forming a thick coating on the back of the throat. This code (A36.8) is used when the specific type of diphtheria does not fall into the other A36 categories (pharyngeal, nasopharyngeal, laryngeal, cutaneous, or unspecified).
Example 1: A patient presents with signs and symptoms suggestive of diphtheria, but laboratory cultures are inconclusive. Further investigation reveals diphtheritic involvement of an unusual site, such as the conjunctiva, confirming an atypical presentation., A patient with a history of incomplete diphtheria immunization develops a localized infection at an injection site. The infection exhibits characteristics of diphtheria but is distinct from cutaneous diphtheria, warranting the use of A36.8., A patient presents with a combined diphtheria infection affecting both the larynx and the skin. While both A36.2 (Laryngeal diphtheria) and A36.3 (Cutaneous diphtheria) could be used, A36.8 is more appropriate to capture the combined complexity of the presentation.
Documentation should include details of the patient's clinical presentation (symptoms, physical exam findings), laboratory confirmation (positive culture or microscopy for C. diphtheriae), and the specific site of infection.Any unusual or complex manifestations of the disease should also be clearly documented to justify use of A36.8.
** It's important to distinguish A36.8 from other related codes. Z22.- is used for carriers of diphtheria, while O98.- is used for infections complicating pregnancy, childbirth, and the puerperium. P35-P39 are specific to the perinatal period.
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, Pediatrics, Emergency Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office, Outpatient Hospital, Public Health Clinic,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home