A68.9 Relapsing fever, unspecified

ICD10CM code

#### Name of the Condition
- Relapsing Fever, Unspecified
- Also referred to as Borrelia infection in some contexts.

#### Summary
Relapsing fever is a bacterial infection characterized by recurring episodes of fever, headache, muscle, and joint aches. It is caused by certain species of Borrelia bacteria transmitted through ticks or lice.

#### Causes
- The condition is caused by an infection with Borrelia bacteria. 
- Transmission primarily occurs through the bite of infected soft-bodied ticks or lice.

#### Risk Factors
- Exposure to tick or lice habitats, especially during outdoor activities in endemic areas.
- Poor sanitation and crowded living conditions can increase the risk of lice-borne transmission.

#### Symptoms
- Repeated episodes of high fever
- Chills and sweating
- Headache and muscle aches
- Nausea or vomiting
- Fatigue

#### Diagnosis
- Blood tests to identify Borrelia spirochetes.
- PCR or molecular tests to detect bacterial DNA.
- Physical examination to assess symptoms and possible tick or lice exposure.

#### Treatment Options
- Antibiotics such as doxycycline or tetracycline are typically used.
- Antipyretics may be administered to manage fever and aches.
- Adequate hydration and rest are recommended to aid recovery.

#### Prognosis and Follow-Up
- With timely antibiotic treatment, the prognosis is usually favorable.
- Regular follow-up may be necessary to monitor for any recurrence of symptoms.

#### Complications
- If untreated, relapsing fever can lead to severe complications, such as neurological issues or organ involvement.
- Repeated episodes without treatment can lead to chronic health problems.

#### Lifestyle & Prevention
- Avoidance of tick-infested areas or appropriate use of insect repellents.
- Promote good personal hygiene and improve sanitation to prevent lice-borne transmission.
- Prompt removal of ticks from the skin using correct techniques.

#### When to Seek Professional Help
- Persistent or recurring fever and associated symptoms.
- Neurological symptoms such as confusion or severe headache.
- Symptoms that do not improve with home care or OTC medications.

#### Additional Resources
- Centers for Disease Control and Prevention (CDC): [Relapsing Fever](https://www.cdc.gov/relapsing-fever/index.html)
- World Health Organization (WHO) for travel advisories and information.

#### Tips for Medical Coders
- Ensure the distinction between tick-borne and lice-borne types if information is available.
- Code A68.9 as "Relapsing fever, unspecified" when no specific type is indicated.
- Avoid assuming causative organism without confirmatory diagnostic evidence.

Medical Policies and Guidelines for Relapsing fever, unspecified

Related policies from health plans

Similar Codes