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BETA v.3.0

2025 ICD-10-CM code A85.0

Enteroviral encephalitis. Enteroviral encephalomyelitis.

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

Medical necessity is established by the presence of clinical signs and symptoms consistent with enteroviral encephalitis, confirmed by laboratory and imaging findings.Treatment is medically necessary to manage symptoms, prevent complications, and provide supportive care.

Diagnosis involves patient history, physical and neurological examination, imaging (CT, EEG, MRI), and spinal tap for CSF examination and blood tests.

In simple words: Enteroviral encephalitis is swelling of the brain caused by a group of viruses.Babies and older adults are most at risk for serious complications.

Enteroviral encephalitis (EVE) refers to inflammation of the brain due to small RNA viruses like coxsackievirus, poliovirus, and echovirus.These viruses typically enter through the respiratory or intestinal tracts.

Example 1: A newborn presents with fever, feeding difficulties, listlessness, and jaundice.After further testing, they are diagnosed with enteroviral encephalitis., An adult experiences high fever, headache, stiff neck, fatigue, confusion, and seizures.Tests confirm enteroviral encephalitis., A child with a history of respiratory illness develops sudden onset of fever, headache and altered mental status. Enteroviral encephalitis is suspected.

Documentation should include signs and symptoms, results of neurological examination, imaging studies (CT, EEG, MRI), CSF examination, and blood test results confirming the presence of the enterovirus.

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