tci Outpatient Facility Coding Alert - 2016 Issue 11

You Be the Coder: Don't Forget To Upgrade To A92.5 for A Zika Diagnosis

Question: Our provider recently saw an expecting female patient complaining of headaches. She had a confirmed diagnosis of Zika. The provider reported a level-three office E/M service. Have there been any changes in how you should report an ICD-10 code for the Zika virus? Washington, DC Subscriber Answer: The ICD-10-CM 2017 update brings you a new ICD-10 code for Zika: A92.5 (Zika virus disease). Remember:  You’ll use this code for all Zika related E/M services the physician provides after October 1, when ICD-10 2017 takes effect. So if the date of service for your claim is...

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