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BETA v.3.0

2025 ICD-10-CM code A92.0

Chikungunya virus disease

Use additional code to identify resistance to antimicrobial drugs (Z16.-). Exclude certain localized infections, which are coded in the body-system-related chapters. Also exclude carrier or suspected carrier status (Z22.-), chikungunya complicating pregnancy, childbirth and the puerperium (O98.-), and chikungunya specific to the perinatal period (P35-P39).

Medical necessity for treatment of chikungunya is established by the presence of signs and symptoms, along with laboratory confirmation of the virus. The medical record should clearly document the impact of the illness on the patient's ability to function normally.

Diagnosis of chikungunya is based on patient history (including possible exposure to infected mosquitos), a physical examination, signs, and symptoms. Lab tests can confirm the presence of the virus. Treatment primarily focuses on managing symptoms and includes rest, fluids, medication to reduce fever and pain, and patient education on preventing mosquito bites.

In simple words: Chikungunya is a virus spread by mosquitoes. It causes fever, joint pain, headache, muscle aches, swollen joints, and a rash. Symptoms usually start a few days after a mosquito bite. Most people feel better within a week, but joint pain can last longer.Babies, older people, and those with health problems like high blood pressure, diabetes, or heart problems may have more severe symptoms.

Chikungunya virus disease is a viral illness transmitted to humans by infected mosquitoes. Symptoms typically appear 3-7 days after being bitten and include fever, joint pain, headache, muscle pain, joint swelling, and rash.While the illness often resolves within a week, some individuals may experience prolonged joint pain for several months. The disease can severely affect infants, older adults, and those with pre-existing conditions like hypertension, diabetes, or cardiac disorders.

Example 1: A 25-year-old traveler returning from a tropical region develops a high fever, severe joint pain, headache, and a rash. They report being bitten by mosquitoes during their trip. After laboratory testing, chikungunya virus disease is confirmed., A 70-year-old with diabetes experiences a sudden onset of fever, joint pain, and muscle aches after gardening in their backyard.Concerned about the patient's underlying condition and mosquito exposure, the physician tests for chikungunya, which comes back positive. The patient's diabetes may complicate their recovery., An infant presents with fever, irritability, and swelling around the joints after their family returns from a vacation. The physician suspects chikungunya and orders blood tests to confirm the diagnosis given the infant's age and recent travel history.

Documentation should include details of the patient's symptoms (fever, joint pain, headache, muscle pain, swelling, rash), travel history, potential exposure to infected mosquitoes, and laboratory test results confirming the presence of the chikungunya virus.It is also important to note any pre-existing conditions that may affect the course of the illness.

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