2025 ICD-10-CM code A69.29
(Active) Effective Date: N/A Infectious and parasitic diseases - Other spirochetal diseases Certain infectious and parasitic diseases Feed
Other conditions associated with Lyme disease.This code encompasses conditions related to Lyme disease not classified elsewhere, such as myopericarditis.
Medical necessity is established by confirming the link between the patient's condition and Lyme disease.The documentation should clearly demonstrate the diagnosis of Lyme disease and the associated complication, justifying the need for treatment and further investigation.
Lyme disease, caused by the bacterium Borrelia burgdorferi and transmitted through infected tick bites, can lead to various complications.In the case of myopericarditis, the bacteria travels to the heart causing inflammation. Diagnosis is based on patient history (tick exposure), physical examination, blood tests, and potentially a Western blot test. Treatment usually involves antibiotics like doxycycline, ceftriaxone, or penicillin. Preventative measures include covering exposed skin outdoors and using insect repellent.
In simple words: This code is used when someone has health problems caused by Lyme disease that aren't covered by other, more specific Lyme disease codes.One example is when the infection affects the heart, causing inflammation around it (myopericarditis).
This code represents other conditions associated with Lyme disease, such as myopericarditis. Myopericarditis due to Lyme disease is a complication causing inflammation of the myocardium (middle and thickest layer of the heart wall) and pericardium (tissue surrounding the heart).It occurs when Borrelia burgdorferi bacteria disseminate from the initial infection site to the heart through the bloodstream.
Example 1: A patient presents with chest pain, shortness of breath, and palpitations several weeks after a known tick bite.Tests confirm Lyme disease and inflammation of the heart, indicating myopericarditis. A69.29 is used to code this specific cardiac complication of Lyme disease., A patient with a history of Lyme disease develops neurological symptoms like facial palsy.While A69.22 covers other neurological disorders, if the specific manifestation isn't listed elsewhere, A69.29 may be applicable., A patient experiences severe fatigue and joint pain after a tick bite. Tests confirm Lyme disease, but the arthritis isn't localized to a specific joint.While A69.23 is specific for Lyme arthritis, if the joint pain is widespread and doesn't meet the criteria for A69.23, A69.29 can be considered.
Documentation should include evidence of Lyme disease (positive laboratory tests, clinical findings), specific symptoms related to the complication (e.g., chest pain, shortness of breath for myopericarditis), and any diagnostic tests confirming the specific condition (e.g., EKG, echocardiogram).
- Payment Status: Active
- Specialties:Infectious Disease, Cardiology, Internal Medicine, Rheumatology, Neurology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital