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A98.5

A98.5Hemorrhagic fever with renal syndrome

Billable / specific codeICD-10-CM

A98.5 is a billable, specific ICD-10-CM code for hemorrhagic fever with renal syndrome. It is valid for submission on a claim.

Excludes1 — never code together

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

  • hantavirus (cardio)-pulmonary syndrome (B33.4)

Inclusion terms

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

  • Epidemic hemorrhagic fever
  • Korean hemorrhagic fever
  • Russian hemorrhagic fever
  • Hantaan virus disease
  • Hantavirus disease with renal manifestations
  • Nephropathia epidemica
  • Songo fever

Excludes1 inherited from the categories above A98.5

These are not written on A98.5, but they bind it: a note on a category applies to every code beneath it. Billing A98.5 with anything listed here is a denial.

Written on A98 Other viral hemorrhagic fevers, not elsewhere classified

  • chikungunya hemorrhagic fever (A92.0)
  • dengue hemorrhagic fever (A91)

Other codes that can never be billed with A98.5

These codes carry an Excludes1 note pointing at A98.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A98.5 alone.

  • B33.4Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]

Risk adjustment

A98.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How A98.5 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 A98.5.

  • Hantaan virus disease(Korean hemorrhagic fever)
  • Hantavirus disease(with renal manifestations) (Dobrava) (Puumala) (Seoul)
  • Nephropathia epidemica
  • Nephrosonephritis, hemorrhagic(endemic)
  • Feverepidemic hemorrhagic
  • FeverKorean hemorrhagic
  • FeverRussian hemorrhagic
  • FeverSongo
  • Disease, diseasedHantavirus, with pulmonary manifestationswith renal manifestations
  • Disease, diseasedviral, virusHanta(with renal manifestations) (Dobrava) (Puumala) (Seoul)
  • Disease, diseasedviral, virusHantaan(Korean hemorrhagic fever)
  • Feverhemorrhagic NOSepidemic

Code history

A98.5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share A98. If A98.5 is not quite right, the correct code is usually one of these.

Questions about A98.5

Is A98.5 a billable ICD-10-CM code?
Yes. A98.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does A98.5 sit in the tabular list?
Certain infectious and parasitic diseases (A00-B99), in the block Arthropod-borne viral fevers and viral hemorrhagic fevers (A90-A99).
What cannot be coded together with A98.5?
A98.5 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above A98.5 (A98) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.