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A85.2

Billable

Arthropod-borne viral encephalitis, unspecified

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

What This Code Means

This code describes inflammation of the brain caused by a virus transmitted through insect bites (such as mosquitoes or ticks), when the specific type of virus has not been identified. It represents a serious infection affecting brain tissue that requires medical attention.

Coding Tips

  • Use this code only when the specific arthropod-borne virus (such as West Nile virus, dengue, or Zika) cannot be determined; if the specific virus is identified, use a more specific A85 subcategory code instead
  • Ensure documentation supports encephalitis (brain inflammation) rather than meningitis or other viral infections; review provider notes for clinical findings such as fever, headache, altered mental status, or neurological symptoms

Excludes 1 — Do NOT code together

  • West nile virus with encephalitis (A92.31)

Code Hierarchy

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