ICD-10 Coding for Adenovirus Infection(A08.2, B30.1, B97.0, B34.0)
Complete ICD-10-CM coding and documentation guide for Adenovirus Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adenovirus Infection
A08-A09Primary Range
Viral and other specified intestinal infections
Includes adenoviral enteritis, a common manifestation of adenovirus infection.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A08.2 | Adenoviral enteritis | Use when adenovirus is confirmed as the cause of enteritis. |
|
| B30.1 | Conjunctivitis due to adenovirus | Use when adenovirus is confirmed as the cause of conjunctivitis. |
|
| B97.0 | Adenovirus as the cause of diseases classified elsewhere | Use as an additional code when adenovirus causes another condition. |
|
| B34.0 | Unspecified adenovirus infection | Use when adenovirus is confirmed but the site is unspecified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for adenoviral enteritis
Essential facts and insights about Adenovirus Infection
Primary ICD-10-CM Codes for adenovirus
Decision Criteria
clinical Criteria
- Presence of diarrhea and vomiting with lab confirmation of adenovirus.
Applicable To
- Diarrhea due to adenovirus
Excludes
- Bacterial enteritis
Clinical Validation Requirements
- Stool PCR positive for adenovirus
- Symptoms of diarrhea and vomiting
Code-Specific Risks
- Misclassification if viral type not confirmed
Coding Notes
- Ensure laboratory confirmation of adenovirus.
B30.1 - Conjunctivitis due to adenovirus
Use when adenovirus is confirmed as the cause of conjunctivitis.
Applicable To
- Keratoconjunctivitis due to adenovirus
Excludes
- Bacterial conjunctivitis
Clinical Validation Requirements
- Conjunctival PCR positive for adenovirus
- Symptoms of red eye and discharge
Coding Notes
Document specific adenovirus type if known.
B97.0 - Adenovirus as the cause of diseases classified elsewhere
Use as an additional code when adenovirus causes another condition.
Applicable To
- Adenovirus causing pneumonia
Excludes
- Primary adenoviral infections
Clinical Validation Requirements
- PCR confirmation of adenovirus in relevant samples
Coding Notes
Ensure adenovirus is documented as the causative agent.
B34.0 - Unspecified adenovirus infection
Use when adenovirus is confirmed but the site is unspecified.
Excludes
- Specific adenoviral infections
Clinical Validation Requirements
- General symptoms with no specific site identified
Coding Notes
Avoid use if specific site is known.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adenovirus Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A08.2.
Impact
Clinical: May lead to incorrect treatment decisions., Regulatory: Fails to meet documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Educate clinicians on documentation standards, Use templates that prompt for specific virus identification
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation Strategy
Use specific codes like A08.2 or B30.1 when the site is confirmed.
Impact
High risk of audit if unspecified codes are used when specific codes are available.
Mitigation Strategy
Train staff on proper code selection and documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Adenovirus Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adenovirus Infection
Use these documentation templates to ensure complete and accurate documentation for Adenovirus Infection. These templates include all required elements for proper coding and billing.
Adenoviral Enteritis
Specialty: GastroenterologyRequired Elements
- Patient symptoms
- Lab test results
- Confirmed adenovirus type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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