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A92.39 ICD-10-CM Code: West Nile virus infection with other complications

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Arthropod-borne viral fevers and viral hemorrhagic fevers (A90-A99)

A92.39

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

West Nile virus infection with other complications

This code describes a West Nile virus infection that has caused complications beyond the typical fever and body aches, such as neurological problems, joint pain, or other systemic effects. It is used when the patient has West Nile virus with complications that don't fit into more specific categories.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
A92Other mosquito-borne viral fevers
A92.3West Nile virus infection
A92.39West Nile virus infection with other complications

Inclusion Terms

Official
  • West Nile fever

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A92.39 in this effective period.

Related Child Codes

Official
A92.30West Nile virus infection, unspecified
A92.31West Nile virus infection with encephalitis
A92.32West Nile virus infection with other neurologic manifestation

Includes

Official

ICD-10-CM does not list Includes notes for A92.39 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A92.39 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A92.39 in this effective period.

Use Additional

Official
  • code to specify the other conditions

Code Also

Official

ICD-10-CM does not list Code Also instructions for A92.39 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Always review the clinical documentation to identify the specific complication(s) present, as this will help determine if a more specific West Nile virus code (such as A92.31 for meningitis or A92.32 for encephalitis) should be used instead
Code the underlying West Nile virus infection with this code, and consider adding additional codes for the specific complications documented (e.g., arthralgia, myalgia) to provide complete clinical picture

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 A92.39 an HCC code?

No. A92.39 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

A92.39 is the ICD-10-CM diagnosis code for west nile virus infection with other complications. This code describes a West Nile virus infection that has caused complications beyond the typical fever and body aches, such as neurological problems, joint pain, or other systemic effects. It is used when the patient has West Nile virus with complications that don't fit into more specific categories. A92.39 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering arthropod-borne viral fevers and viral hemorrhagic fevers (a90-a99).

A92.39 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.

Always review the clinical documentation to identify the specific complication(s) present, as this will help determine if a more specific West Nile virus code (such as A92.31 for meningitis or A92.32 for encephalitis) should be used instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A92.39 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Always review the clinical documentation to identify the specific complication(s) present, as this will help determine if a more specific West Nile virus code (such as A92.31 for meningitis or A92.32 for encephalitis) should be used instead
  • Code the underlying West Nile virus infection with this code, and consider adding additional codes for the specific complications documented (e.g., arthralgia, myalgia) to provide complete clinical picture

Use Additional Code

  • code to specify the other conditions

Child Codes

Code Hierarchy

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