A92.5
BillableZika virus disease
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Zika virus disease is an infection caused by the Zika virus, typically transmitted by mosquitoes, that can cause fever, rash, joint pain, and other symptoms. In pregnant women, it can lead to serious complications affecting fetal development.
Coding Tips
- •Always check for documentation of pregnancy status when coding Zika virus disease, as this affects severity classification and may require additional codes for maternal or fetal complications
- •Verify whether the patient has confirmed Zika virus infection through testing versus suspected/probable infection, as confirmed cases use A92.5 while suspected cases may use a different code
Excludes 1 — Do NOT code together
- congenital Zika virus disease (P35.4)