Pediatric Coding Alert

Tip: Lyme disease series expands out to five codes under ICD-10.With Lyme disease coding being tricky to begin with, you're in for more excitement once the diagnosis coding system switches over to ICD-10.As outlined in our article, "Determine Whether Your Lyme Disease Code Assignment Makes the Grade," you should currently report 088.81 (Lyme disease) if a patient has a confirmed case of Lyme disease. Under ICD-10, however, your coding options will expand to the following code set:A69.20, Lyme disease, unspecifiedA69.21, Meningitis due to Lyme diseaseA69.22, Other neurologic disorders in Lyme diseaseA69.23, Arthritis due to Lyme diseaseA69.29, Other conditions associated with Lyme diseaseDocumentation: Under the ICD-10 code system, you will need to clearly note whether the patient has Lyme disease alone (A69.20) or Lyme disease with other contributing factors (A69.21-A69.22). For instance, you cannot report A69.21 unless the documentation includes confirmation that the patient suffers from meningitis as well as Lymedisease, [...]