A77.8 ICD-10-CM Code: Other spotted fevers
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Rickettsioses (A75-A79)
A77.8
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther spotted fevers
This code represents rare or less common types of spotted fever infections caused by bacteria transmitted through tick bites, which cause fever and characteristic skin rashes. These are serious infections that require prompt medical treatment with antibiotics.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Rickettsia 364D/R. philipii (Pacific Coast tick fever)
- Spotted fever due to Rickettsia africae (African tick bite fever)
- Spotted fever due to Rickettsia parkeri
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A77.8 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A77.8 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for A77.8 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A77.8 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A77.8 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A77.8 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is A77.8 an HCC code?
No. A77.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- A77.8
- Description
- Other spotted fevers
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A77.8 is the ICD-10-CM diagnosis code for other spotted fevers. This code represents rare or less common types of spotted fever infections caused by bacteria transmitted through tick bites, which cause fever and characteristic skin rashes. These are serious infections that require prompt medical treatment with antibiotics. A77.8 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering rickettsioses (a75-a79).
A77.8 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only when the specific type of spotted fever is not classifiable under the more common categories (Rocky Mountain spotted fever A77.0, Boutonneuse fever A77.1, etc.); always document the specific organism or fever type in the medical record.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A77.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the specific type of spotted fever is not classifiable under the more common categories (Rocky Mountain spotted fever A77.0, Boutonneuse fever A77.1, etc.); always document the specific organism or fever type in the medical record
- •Verify that the infection is confirmed or suspected as a spotted fever before coding; coordinate with the provider if the specific fever type is unclear, as more specific codes may be more appropriate for billing and epidemiological tracking

