A92.5

A92.5: Zika virus disease

Billable / specific codeICD-10-CM

A92.5 is a billable, specific ICD-10-CM code for zika virus disease. It is valid for submission on a claim.

Check A92.5 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital Zika virus disease (P35.4)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Zika virus fever
Zika virus infection
Zika NOS

Excludes1 inherited from the categories above A92.5

A category’s note binds every code beneath it.

Written on A92: Other mosquito-borne viral fevers

Ross River disease (B33.1)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

A92.5 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55326Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
A56771Billing and Coding: Special Electroencephalography

Alphabetic index entries that lead here

Zika NOS
Disease, diseased›Zika virus
Fever›Zika virus
Infection, infected, infective›Zika virus

Code history

Unchanged in every release from FY2024 to FY2027.