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A38.1

Billable

Scarlet fever with myocarditis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Scarlet fever is a bacterial infection caused by streptococcus that produces a characteristic red rash, and in this case, the infection has also affected the heart muscle (myocarditis), causing inflammation. This is a serious complication of scarlet fever that requires prompt treatment.

Coding Tips

  • Always verify that myocarditis is documented in the medical record before assigning this code; do not assume cardiac involvement without explicit documentation
  • This code includes both the scarlet fever diagnosis and the myocarditis complication, so do not separately code myocarditis with an additional code unless it is from a different etiology

Code Hierarchy

A38Scarlet feverA38.1Scarlet fever with myocarditis
A38.1Scarlet fever with myocarditis

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