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A38.8

Billable

Scarlet fever with other complications

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 this code is used when the patient has scarlet fever along with complications other than the typical ones. Complications might include issues affecting the heart, kidneys, or other organs.

Coding Tips

  • Always review the medical record to identify and document the specific complications present, as code A38.8 should only be used when complications exist beyond the standard presentation
  • Ensure the scarlet fever diagnosis is confirmed (typically caused by Group A Streptococcus) and document which complications are present to support medical necessity and potentially allow for additional diagnosis codes

Code Hierarchy

A38Scarlet feverA38.8Scarlet fever with other complications
A38.8Scarlet fever with other complications

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