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Home/Diagnosis/ICD-10 Coding for Tick Bite

ICD-10 Coding for Tick Bite

S40.861A
W57.XXXA
A69.20

Complete ICD-10-CM coding and documentation guide for icd-10 coding for tick bite includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Tick Infestation
Tick Exposure
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Key Information: ICD-10 Coding for Tick Bite

Essential facts and insights about ICD-10 Coding for Tick Bite

Use ICD-10 code S40.861A for insect bite (nonvenomous) of right upper arm, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Insect bite (nonvenomous) of right upper arm, initial encounter

Billable Code
S40.861A
Billable

Diagnostic Criteria

clinical:
  • • Presence of localized symptoms at the bite site
coding:
  • • Use site-specific injury code before external cause code

Applicable To

  • • Localized erythema
  • • Pruritus
  • • Swelling at bite site

Important Notes

  • • Ensure the injury code is sequenced before the external cause code.

Bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter

Billable Code
W57.XXXA
Billable

Applicable To

  • • Tick bite

Important Notes

  • • Always sequence after the site-specific injury code.

Lyme disease, unspecified

Billable Code
A69.20
Billable

Applicable To

  • • Erythema migrans
  • • Positive serology for Lyme disease

Important Notes

  • • Ensure clinical and laboratory criteria are met before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

W57.XXXA

Bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter

Use as secondary code to indicate the external cause of the injury.

Frequently Asked Questions

What is the ICD-10 code for a tick bite?

The ICD-10 code for a tick bite is W57.XXXA, used as a secondary code to indicate the external cause. A site-specific injury code, such as S40.861A, should be used as the primary code.

How do you code a tick bite with Lyme disease?

For a tick bite with confirmed Lyme disease, use the primary injury code (e.g., S40.861A), the external cause code W57.XXXA, and A69.20 for Lyme disease.

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