2020 ICD-10-CM Diagnosis Code A98.5

Hemorrhagic fever with renal syndrome

    2016 2017 2018 2019 2020 Billable/Specific Code
  • A98.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM A98.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of A98.5 - other international versions of ICD-10 A98.5 may differ.
Applicable To
  • Epidemic hemorrhagic fever
  • Korean hemorrhagic fever
  • Russian hemorrhagic fever
  • Hantaan virus disease
  • Hantavirus disease with renal manifestations
  • Nephropathia epidemica
  • Songo fever
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as A98.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • hantavirus (cardio)-pulmonary syndrome (
    ICD-10-CM Diagnosis Code B33.4

    Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hantavirus disease with pulmonary manifestations
    • Sin nombre virus disease
    Type 1 Excludes
    • hantavirus disease with renal manifestations (A98.5)
    • hemorrhagic fever with renal manifestations (A98.5)
    Use Additional
    • code to identify any associated acute kidney failure (N17.9)
    B33.4
    )
The following code(s) above A98.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to A98.5:
  • A00-B99
    2020 ICD-10-CM Range A00-B99

    Certain infectious and parasitic diseases

    Includes
    • diseases generally recognized as communicable or transmissible
    Type 1 Excludes
    • certain localized infections - see body system-related chapters
    Type 2 Excludes
    • carrier or suspected carrier of infectious disease (Z22.-)
    • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
    • infectious and parasitic diseases specific to the perinatal period (P35-P39)
    • influenza and other acute respiratory infections (J00-J22)
    Use Additional
    • code to identify resistance to antimicrobial drugs (Z16.-)
    Certain infectious and parasitic diseases
  • A98
    ICD-10-CM Diagnosis Code A98

    Other viral hemorrhagic fevers, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • chikungunya hemorrhagic fever (A92.0)
    • dengue hemorrhagic fever (A91)
    Other viral hemorrhagic fevers, not elsewhere classified
Approximate Synonyms
  • Disease due to hantavirus
  • Hantavirus infection
  • Hemorrhagic nephroso-nephritis
  • Infection due to hantavirus
  • Nephrosonephritis, hemorrhagic
Clinical Information
  • A disorder caused by hantaviruses of the family bunyaviridae. It is transmitted by rodents and is manifested with fever, hemorrhage, and renal failure. Other symptoms include headaches, abdominal and back pain, and blurred vision.
  • An acute febrile disease occurring predominately in asia. It is characterized by fever, prostration, vomiting, hemorrhagic phenonema, shock, and renal failure. It is caused by any one of several closely related species of the genus hantavirus. The most severe form is caused by hantaan virus whose natural host is the rodent apodemus agrarius. Milder forms are caused by seoul virus and transmitted by the rodents rattus rattus and r. Norvegicus, and the puumala virus with transmission by clethrionomys galreolus.
  • Hantavirus pulmonary syndrome (hps) is a rare but deadly viral infection. It is spread by mice and rats. They shed the virus in their urine, droppings and saliva. Tiny droplets with the virus can enter the air. People can get the disease if they breathe infected air or come into contact with rodents or their urine or droppings. You cannot catch it from people.early symptoms of hps include
    • fatigue
    • fever
    • muscle aches, especially in the thighs, hips and back
    • headaches
    • chills
    • dizziness
    • nausea, vomiting, diarrhea or abdominal pain
    later symptoms include coughing and shortness of breath. Controlling rodents in and around your house is the best way to protect yourself from infection. If you have been around rodents and have symptoms of fever, deep muscle aches, and severe shortness of breath, see your doctor immediately. Centers for Disease Control and Prevention.
  • Infections with viruses of the genus hantavirus. This is associated with at least four clinical syndromes: hemorrhagic fever with renal syndrome caused by viruses of the hantaan group; a milder form of hfrs caused by seoul virus; nephropathia epidemica caused by puumala virus; and hantavirus pulmonary syndrome caused by sin nombre virus.
  • Mild form of hfrs rarely hemorrhagic and seldom fatal. Caused by the puumala virus.
ICD-10-CM A98.5 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 689 Kidney and urinary tract infections with mcc
  • 690 Kidney and urinary tract infections without mcc

Convert A98.5 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to A98.5:
  • Type 1 Excludes: B33.4
    , B33.4
    ICD-10-CM Diagnosis Code B33.4

    Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hantavirus disease with pulmonary manifestations
    • Sin nombre virus disease
    Type 1 Excludes
    • hantavirus disease with renal manifestations (A98.5)
    • hemorrhagic fever with renal manifestations (A98.5)
    Use Additional
    • code to identify any associated acute kidney failure (N17.9)
    ICD-10-CM Diagnosis Code B33.4

    Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hantavirus disease with pulmonary manifestations
    • Sin nombre virus disease
    Type 1 Excludes
    • hantavirus disease with renal manifestations (A98.5)
    • hemorrhagic fever with renal manifestations (A98.5)
    Use Additional
    • code to identify any associated acute kidney failure (N17.9)

Diagnosis Index entries containing back-references to A98.5:
  • Disease, diseased - see also Syndrome
    • Hantavirus, with pulmonary manifestations B33.4
      ICD-10-CM Diagnosis Code B33.4

      Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Hantavirus disease with pulmonary manifestations
      • Sin nombre virus disease
      Type 1 Excludes
      • hantavirus disease with renal manifestations (A98.5)
      • hemorrhagic fever with renal manifestations (A98.5)
      Use Additional
      • code to identify any associated acute kidney failure (N17.9)
      • with renal manifestations A98.5
    • viral, virus B34.9
      - see also Disease, by type of virus
      ICD-10-CM Diagnosis Code B34.9

      Viral infection, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Viremia NOS
      • Hanta (with renal manifestations) (Dobrava) (Puumala) (Seoul) A98.5
      • Hantaan A98.5 (Korean hemorrhagic fever)
  • Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) R50.9
    ICD-10-CM Diagnosis Code R50.9

    Fever, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Fever NOS
    • Fever of unknown origin [FUO]
    • Fever with chills
    • Fever with rigors
    • Hyperpyrexia NOS
    • Persistent fever
    • Pyrexia NOS
    • hemorrhagic (arthropod-borne) A94
      ICD-10-CM Diagnosis Code A94

      Unspecified arthropod-borne viral fever

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Arboviral fever NOS
      • Arbovirus infection NOS
      • with renal syndrome A98.5
      • epidemic A98.5
      • Korean A98.5
      • Russian A98.5
    • epidemic hemorrhagic A98.5
    • Korean hemorrhagic A98.5
    • Russian hemorrhagic A98.5
    • Songo A98.5
  • Hantaan virus disease A98.5 (Korean hemorrhagic fever)
  • Hantavirus disease (with renal manifestations) (Dobrava) (Puumala) (Seoul) A98.5
  • Nephropathia epidemica A98.5
  • Nephrosis, nephrotic (Epstein's) (syndrome) (congenital) N04.9
    ICD-10-CM Diagnosis Code N04.9

    Nephrotic syndrome with unspecified morphologic changes

      2016 2017 2018 2019 2020 Billable/Specific Code
    • in
      • epidemic hemorrhagic fever A98.5
  • Nephrosonephritis, hemorrhagic A98.5 (endemic)

ICD-10-CM Codes Adjacent To A98.5
A96.1 Machupo hemorrhagic fever
A96.2 Lassa fever
A96.8 Other arenaviral hemorrhagic fevers
A96.9 Arenaviral hemorrhagic fever, unspecified
A98 Other viral hemorrhagic fevers, not elsewhere classified
A98.0 Crimean-Congo hemorrhagic fever
A98.1 Omsk hemorrhagic fever
A98.2 Kyasanur Forest disease
A98.3 Marburg virus disease
A98.4 Ebola virus disease
A98.5 Hemorrhagic fever with renal syndrome
A98.8 Other specified viral hemorrhagic fevers
A99 Unspecified viral hemorrhagic fever
B00 Herpesviral [herpes simplex] infections
B00.0 Eczema herpeticum
B00.1 Herpesviral vesicular dermatitis
B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
B00.3 Herpesviral meningitis
B00.4 Herpesviral encephalitis
B00.5 Herpesviral ocular disease
B00.50 …… unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.