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    OpenPayerBilling CodesViral and prion infections of the central nervous systemICD-10-CM a88-other-viral-central-nervous-system-infections
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    ICD-10-CM Code For Other Viral Infections Of Central Nervous System Not Elsewhere Classified: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group A88 includes viral infections of the central nervous system that are not classified elsewhere, such as unspecified or atypical viral encephalitis and meningoencephalitis. These ICD-10-CM diagnosis codes are used to document clinical encounters involving viral central nervous system infections, capturing disease severity, specific neurologic involvement, and complications relevant to this group. Accurate coding within the ICD-10-CM A88 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM A88: Other Viral Infections Of Central Nervous System, Not Elsewhere Classified Overview

    This group represents viral infections that primarily affect the central nervous system but do not fall into other specified viral encephalitis or meningoencephalitis categories. It targets infections of the brain, meninges, and surrounding neural structures caused by atypical or unspecified viral agents. Accurate coding is important to reflect the complexity of care and to support appropriate reimbursement for services related to diagnosis and management of central nervous system infections.

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    When to Use

    Use a code from this group when a patient has clinical evidence of a viral central nervous system infection but the causative virus or specific encephalitis/meningitis category is not identified or does not have a dedicated code. These codes apply when documentation indicates viral involvement of the brain, meninges, or both without more specific classification elsewhere in ICD-10-CM A00–B99 infectious disease chapter codes.

    ICD-10-CM Codes

    3 rows

    ICD-10-CM CodeDescription
    A88.0Enteroviral exanthematous fever [Boston exanthem]
    A88.1Epidemic vertigo
    A88.8Other specified viral infections of central nervous system

    DRG Codes

    11 rows

    DRG CodeDescription
    075Viral Meningitis with CC/MCC
    076Viral Meningitis without CC/MCC
    091Other Disorders of Nervous System with MCC
    092Other Disorders of Nervous System with CC
    093Other Disorders of Nervous System without CC/MCC
    097Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC
    098Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC
    099Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC
    974HIV with Major Related Condition with MCC
    975HIV with Major Related Condition with CC
    976HIV with Major Related Condition without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to the emergency department with acute onset high fever, severe headache, photophobia, neck stiffness, and rapidly progressive confusion after a recent febrile illness; lumbar puncture shows lymphocytic pleocytosis and PCR testing identifies a non–enteroviral, non–arboviral viral pathogen of the central nervous system. Because this is an acute viral encephalitic process not classified elsewhere, a code from this group is assigned. Typical codes: A88.0, A88.8
    • A pediatric patient with recent varicella infection develops subacute onset of seizures, altered mental status, and focal neurologic deficits over days to weeks; neuroimaging and CSF studies suggest a postinfectious or atypical viral involvement of the CNS not covered by more specific codes. This subacute central nervous system viral complication is coded using an appropriate code from this group. Typical codes: A88.1, A88.8
    • An immunocompromised adult undergoing routine inpatient evaluation for persistent cognitive decline and intermittent fevers is found to have chronic viral infection of the central nervous system confirmed by CSF virology without identification of a specific, elsewhere-classified virus; the diagnosis is documented as a chronic or indolent viral CNS infection not elsewhere classified. A code from this group is used to capture the chronic viral CNS condition as a comorbidity affecting care. Typical codes: A88.8

    Related Codes

    A80-ACUTE-POLIOMYELITIS

    ICD-10-CM Code For Acute Poliomyelitis: Group Overview

    A81-ATYPICAL-VIRUS-INFECTIONS-CENTRAL-NERVOUS-SYSTEM

    ICD-10-CM Code For Atypical Virus Infections Of Central Nervous System: Group Overview

    A82-RABIES

    ICD-10-CM Code For Rabies: Group Overview

    A83-MOSQUITO-BORNE-VIRAL-ENCEPHALITIS

    ICD-10-CM Code For Mosquito-Borne Viral Encephalitis: Group Overview

    A84-TICK-BORNE-VIRAL-ENCEPHALITIS

    ICD-10-CM Code For Tick-Borne Viral Encephalitis: Group Overview

    A85-OTHER-VIRAL-ENCEPHALITIS

    ICD-10-CM Code For Other Viral Encephalitis Not Elsewhere Classified: Group Overview

    A86-UNSPECIFIED-VIRAL-ENCEPHALITIS

    ICD-10-CM Code For Unspecified Viral Encephalitis: Group Overview

    A87-VIRAL-MENINGITIS

    ICD-10-CM Code For Viral Meningitis: Group Overview

    A89-UNSPECIFIED-VIRAL-INFECTION-CENTRAL-NERVOUS-SYSTEM

    ICD-10-CM Code For Unspecified Viral Infection Of Central Nervous System: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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