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A86

Billable

Unspecified viral encephalitis

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 when the specific virus has not been identified or documented. It's used when a patient has symptoms of viral brain inflammation but testing hasn't determined which virus is responsible.

Coding Tips

  • Use this code only when the specific viral cause cannot be determined; if the virus is identified (such as HSV, West Nile, or enterovirus), use the more specific code instead
  • Ensure documentation supports encephalitis diagnosis (not just meningitis or other CNS conditions) and that viral etiology is confirmed or strongly suspected before coding

Code Hierarchy

A86Unspecified viral encephalitis
A86Unspecified viral encephalitis

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