A69.23 — Arthritis due to Lyme disease
A69.23 is a billable, specific ICD-10-CM code for arthritis due to lyme disease. It is valid for submission on a claim.
Other codes that can never be billed with A69.23
These codes carry an Excludes1 note pointing at A69.23. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A69.23 alone.
- M01Direct infections of joint in infectious and parasitic diseases classified elsewhere
Risk adjustment
A69.23 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis0.479 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
A69.23 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
How A69.23 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to A69.23.
- Arthritis, arthritic›due to or associated with›Lyme disease
- Arthritis, arthritic›in›Lyme disease
Related codes at this level
Codes that share A69.2. If A69.23 is not quite right, the correct code is usually one of these.
Questions about A69.23
- Is A69.23 a billable ICD-10-CM code?
- Yes. A69.23 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does A69.23 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Other spirochetal diseases (A65-A69).