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BETA v.3.0

2025 ICD-10-CM code A79.8

Other specified rickettsioses. This code is used for rickettsiosis not classified elsewhere.

Use additional code to identify resistance to antimicrobial drugs (Z16.-).

Medical necessity is established by the signs, symptoms, and laboratory confirmation of a rickettsial infection not otherwise classified.

Diagnosis involves evaluating symptoms (fever, headache, muscle aches, rash, eschar), exposure history, and physical exam. Laboratory tests like immunofluorescence assay (IFA) and polymerase chain reaction (PCR) can confirm the diagnosis. Treatment usually involves doxycycline. Patient education focuses on preventing tick and mite bites.

In simple words: This code represents a rare type of infection spread by ticks, mites, or fleas, similar to Rocky Mountain Spotted Fever, but not fitting into the usual categories.

Rickettsioses is a group of infectious diseases caused by organisms of the Rickettsia genus, typically transmitted through the bite of ticks, mites, and fleas. This code (A79.8) identifies a type of rickettsiosis not represented by any other category within the A75-A79 range.Examples include Rickettsiosis due to Ehrlichia sennetsu (formerly Neorickettsia sennetsu).

Example 1: A patient presents with fever, headache, and myalgia after a recent camping trip. A black scab (eschar) is found at the site of a tick bite.Laboratory results confirm Rickettsiosis due to Ehrlichia sennetsu, and the physician uses A79.8 to document this particular form of rickettsiosis., A patient develops a fever and a distinctive rash after being bitten by a mite.Standard tests for common rickettsial diseases are negative. Further investigation identifies a rare rickettsial organism not covered by other codes, so A79.8 is used., A patient with flu-like symptoms and a history of tick bites presents to their doctor. Blood tests reveal a rickettsial infection, but it doesn't match the profile of the more common forms. After specialist consultation, a diagnosis requiring code A79.8 is made.

Documentation should include signs and symptoms, history of tick/mite exposure, physical exam findings, and laboratory test results confirming the specific rickettsial organism if available. Details about the eschar (if present), its location, and characteristics are important.

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