Tag Archives: tick

How Do I Code Suspected Lyme?

Posted on 20. Sep, 2009 by .

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Question: Our lab processes a blood specimen using a direct probe technique for a patient with suspected Lyme disease from a tick bite. How should we code the case?

Answer: Report the lab test as 87475 (Infectious agent detection by nucleic acid [DNA or RNA]; Borrelia burgdorferi, direct probe technique), because Borrelia burgdorferi is the causative organism that you’d test for in a case of suspected Lyme disease.

The diagnosis coding is a little less straightforward. You should not list the diagnosis for Lyme disease (088.81, Lyme disease). The physician ordered the test for a suspected condition, so you should not code the disease as though it is confirmed.

Instead, list the diagnosis based on signs and symptoms that the ordering physician identifies. For instance, you could use a V code to show exposure: V01.89 (Contact with or exposure to other communicable diseases). You could also add E906.4 (Other injury caused by animals; bite of nonvenomous arthropod) to further define the condition that led to

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Snag Summer Tick-Related Case Dxs With Insect Fast Facts

Posted on 24. Jun, 2009 by .

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Think a tick is venomous? That error will land you with the wrong ICD-9 code(s).

Get the scoop you need to land all possible diagnoses for a tick removal or tick bite codes with this guide.

Go With 910-919 for Nonvenomous Bite

To support a tick bite or tick removal E/M or foreign body removal (FBR), the first diagnosis code you’ll need is the injury code. What caused the injury that requires care? A bite.

In the ICD-9-CM index, if you look up “bite: insect,” you’re faced with a dilemma. Is a tick venomous or nonvenomous? “Ticks can infect you but they don’t have venom like an ant mite,” notes Jeffrey F. Linzer Sr., MD, MICP, FAAP, FACEP, associate medical director of compliance and business affairs for the division of pediatric emergency medicine, Department of Pediatrics at Children’s Healthcare of Atlanta at Egleston.

AUDIO TRAINING EVENT: Seasonal Coding: Primary Care

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