A38.1
BillableScarlet 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