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A88.0 ICD-10-CM Code: Enteroviral exanthematous fever [Boston exanthem]

A88.0 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupA88.0

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

A88.0

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

Enteroviral exanthematous fever [Boston exanthem]

Boston exanthem is a viral infection caused by enteroviruses that causes fever and a characteristic rash on the skin. It is a contagious illness that typically affects children and resolves on its own within a few days.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 004

Code-level coefficient reference

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for A88.0. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • carrier or suspected carrier of infectious disease (Z22.-)Inherited from A00-B99
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)Inherited from A00-B99
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)Inherited from A00-B99
  • influenza and other acute respiratory infections (J00-J22)Inherited from A00-B99

Includes

Official
  • diseases generally recognized as communicable or transmissibleInherited from A00-B99

Excludes 1

Official
  • certain localized infections - see body system-related chaptersInherited from A00-B99, A80-A89, A88
  • postpolio syndrome (G14)Inherited from A00-B99, A80-A89, A88
  • sequelae of poliomyelitis (B91)Inherited from A00-B99, A80-A89, A88
  • sequelae of viral encephalitis (B94.1)Inherited from A00-B99, A80-A89, A88
  • viral encephalitis NOS (A86)Inherited from A00-B99, A80-A89, A88
  • viral meningitis NOS (A87.9)Inherited from A00-B99, A80-A89, A88

Code First

Official

No Code First sequencing instructions are included in this display for A88.0. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code to identify resistance to antimicrobial drugs (Z16.-)Inherited from A00-B99

Code Also

Official

No Code Also instructions are included in this display for A88.0. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Ensure the diagnosis is specifically documented as Boston exanthem or enteroviral exanthematous fever to use this code rather than other exanthem codes
This code includes the fever component, so do not separately code fever (R50.-) when Boston exanthem is the primary diagnosis

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is A88.0 an HCC code?

A88.0 is not in the CMS-HCC V28 or V24 community payment model. A88.0 also appears in the HHS-HCC commercial risk model (HCC 004 (HHS-HCC 004 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping.

Code
A88.0
Description
Enteroviral exanthematous fever [Boston exanthem]
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
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

A88.0 is the ICD-10-CM diagnosis code for enteroviral exanthematous fever [boston exanthem]. Boston exanthem is a viral infection caused by enteroviruses that causes fever and a characteristic rash on the skin. It is a contagious illness that typically affects children and resolves on its own within a few days. A88.0 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).

A88.0 has no mapping under the CMS-HCC V28 or V24 community payment models. A88.0 also appears in the HHS-HCC commercial risk model (HCC 004 (HHS-HCC 004 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

Ensure the diagnosis is specifically documented as Boston exanthem or enteroviral exanthematous fever to use this code rather than other exanthem codes.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for A88.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Ensure the diagnosis is specifically documented as Boston exanthem or enteroviral exanthematous fever to use this code rather than other exanthem codes
  • This code includes the fever component, so do not separately code fever (R50.-) when Boston exanthem is the primary diagnosis

Child Codes

Code Hierarchy

Also searched as

  • A88 0
  • A880

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