ICD-10 Diagnosis Code Z86.61

Personal history of infections of the central nervous system

Diagnosis Code Z86.61

ICD-10: Z86.61
Short Description: Personal history of infections of the central nervous system
Long Description: Personal history of infections of the central nervous system
This is the 2017 version of the ICD-10-CM diagnosis code Z86.61

Valid for Submission
The code Z86.61 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Personal history of certain other diseases (Z86)

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.


Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
  • V12.42 - Personl hx infection CNS

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code Z86.61 is exempt from POA reporting.

Synonyms
  • History of encephalitis
  • History of infectious disease of central nervous system
  • History of listeria meningitis
  • History of meningitis

Index of Diseases and Injuries
References found for the code Z86.61 in the Index of Diseases and Injuries:


Information for Patients


Encephalitis

Encephalitis is an inflammation of the brain. Usually the cause is a viral infection, but bacteria can also cause it. It can be mild or severe. Most cases are mild. You may have flu-like symptoms. With a mild case, you may just need rest, plenty of fluids, and a pain reliever.

Severe cases need immediate treatment. Symptoms of severe cases include

  • Severe headache
  • Sudden fever
  • Drowsiness
  • Vomiting
  • Confusion
  • Seizures

In babies, additional symptoms may include constant crying, poor feeding, body stiffness, and bulging in the soft spots of the skull.

Severe cases may require a stay in the hospital. Treatments include oral and intravenous (IV) medicines to reduce inflammation and treat infection. Patients with breathing difficulties may need artificial respiration. Some people may need physical, speech, and occupational therapy once the illness is under control.

NIH: National Institute of Neurological Disorders and Stroke

  • Cerebral spinal fluid (CSF) collection
  • CSF analysis
  • Encephalitis
  • Japanese Encephalitis Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
  • Subacute sclerosing panencephalitis


[Read More]

Meningitis

Also called: Spinal meningitis

Meningitis is inflammation of the thin tissue that surrounds the brain and spinal cord, called the meninges. There are several types of meningitis. The most common is viral meningitis. You get it when a virus enters the body through the nose or mouth and travels to the brain. Bacterial meningitis is rare, but can be deadly. It usually starts with bacteria that cause a cold-like infection. It can cause stroke, hearing loss, and brain damage. It can also harm other organs. Pneumococcal infections and meningococcal infections are the most common causes of bacterial meningitis.

Anyone can get meningitis, but it is more common in people with weak immune systems. Meningitis can get serious very quickly. You should get medical care right away if you have

  • A sudden high fever
  • A severe headache
  • A stiff neck
  • Nausea or vomiting

Early treatment can help prevent serious problems, including death. Tests to diagnose meningitis include blood tests, imaging tests, and a spinal tap to test cerebrospinal fluid. Antibiotics can treat bacterial meningitis. Antiviral medicines may help some types of viral meningitis. Other medicines can help treat symptoms.

There are vaccines to prevent some of the bacterial infections that cause meningitis.

NIH: National Institute of Neurological Disorders and Stroke

  • Cerebral spinal fluid (CSF) collection
  • Cerebrospinal fluid culture
  • Meningitis
  • Meningitis - cryptococcal
  • Meningitis - gram-negative
  • Meningitis - H. influenzae
  • Meningococcal Vaccines: What You Need to Know (Centers for Disease Control and Prevention)
  • Pneumococcal Conjugate Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
  • Pneumococcal Polysaccharide Vaccine: What You Need to Know (Immunization Action Coalition)


[Read More]
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