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A84.89 ICD-10-CM Code: Other tick-borne viral encephalitis

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Viral and prion infections of the central nervous system (A80-A89)

A84.89

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other tick-borne viral encephalitis

This code describes inflammation of the brain caused by a virus transmitted through tick bites, excluding the more common types like Lyme disease. It represents less frequently encountered tick-borne viral infections that affect the brain and nervous system.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

HCC 3

Varies by metal level

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A84Tick-borne viral encephalitis
A84.8Other tick-borne viral encephalitis
A84.89Other tick-borne viral encephalitis

Inclusion Terms

Official
  • Louping ill

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A84.89 in this effective period.

Related Child Codes

Official
A84.81Powassan virus disease

Includes

Official

ICD-10-CM does not list Includes notes for A84.89 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A84.89 in this effective period.

Code First

Official
  • , if applicable, transfusion related infection (T80.22-)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A84.89 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A84.89 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify the specific tick-borne virus identified in the clinical documentation, as some may have more specific ICD-10-CM codes available; use this code only when the specific virus is not classifiable elsewhere
Ensure documentation clearly indicates both the tick-borne transmission route and the encephalitis (brain inflammation) diagnosis to support medical necessity and appropriate coding

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 A84.89 an HCC code?

No. A84.89 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

A84.89 is the ICD-10-CM diagnosis code for other tick-borne viral encephalitis. This code describes inflammation of the brain caused by a virus transmitted through tick bites, excluding the more common types like Lyme disease. It represents less frequently encountered tick-borne viral infections that affect the brain and nervous system. A84.89 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering viral and prion infections of the central nervous system (a80-a89).

A84.89 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.

Verify the specific tick-borne virus identified in the clinical documentation, as some may have more specific ICD-10-CM codes available; use this code only when the specific virus is not classifiable elsewhere.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A84.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify the specific tick-borne virus identified in the clinical documentation, as some may have more specific ICD-10-CM codes available; use this code only when the specific virus is not classifiable elsewhere
  • Ensure documentation clearly indicates both the tick-borne transmission route and the encephalitis (brain inflammation) diagnosis to support medical necessity and appropriate coding

Code First

  • , if applicable, transfusion related infection (T80.22-)

Child Codes

Code Hierarchy

Work A84.89 in HCC Buddy

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