2025 ICD-10-CM code A38.8
(Active) Effective Date: N/A Certain infectious and parasitic diseases - Other bacterial diseases 1 Feed
Scarlet fever with other complications.
Medical necessity is established by the diagnosis of scarlet fever and the presence of specific complications affecting the patient's health.The documentation must support the need for treatment and management of both the initial infection and its sequelae.
Clinicians should document the specific complications present, along with the diagnosis of scarlet fever, to justify the use of this code. Treatment typically involves antibiotics and supportive care.
In simple words: This code is used when someone has scarlet fever with additional complications not covered by other codes.
Scarlet fever, also known as scarlatina, is a bacterial illness caused by group A Streptococcus. It is characterized by a sore throat, fever, and a distinctive pink-red rash. This code (A38.8) is specifically used when there are complications of scarlet fever not otherwise specified in the classification.
Example 1: A child presents with the classic symptoms of scarlet fever (fever, sore throat, and rash) and develops acute glomerulonephritis (kidney inflammation) as a complication., A patient with scarlet fever develops a peritonsillar abscess requiring surgical drainage., A patient diagnosed with scarlet fever experiences rheumatic fever, a severe inflammatory condition affecting the heart, joints, and other tissues.
Documentation should include the signs and symptoms of scarlet fever, as well as the specific complications that are present.Lab results confirming the presence of group A Streptococcus are also necessary. The clinical notes must detail the severity and impact of the complications.
- Specialties:Infectious Disease, Pediatrics, Family Medicine, Internal Medicine
- Place of Service:Inpatient Hospital, Office, Emergency Room - Hospital,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home