2026 ICD-10-CM Diagnosis Code A68.1Tick-borne relapsing fever

ICD-10-CM Codes›A00–B99›A65-A69›A68

ICD-10-CM A68.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A68.1 is a billable ICD-10-CM diagnosis code for tick-borne relapsing fever. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 867 through 869. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Parasitic, other specified and unspecified infections.

Code Identity

ICD-10-CM Code
A68.1
Billable Status
Yes — Valid for Submission
Code Describes
Tick-borne relapsing fever
Short Description
Tick-borne relapsing fever
Same as the full description in the CMS dataset.
Parent Code
A68
Relapsing fevers

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA65-A69Other spirochetal diseases
CategoryA68Relapsing fevers
This CodeA68.1Tick-borne relapsing fever

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Boutonneuse fever
  • Infection caused by Borrelia caucasica
  • Infection caused by Borrelia duttonii
  • Infection caused by Borrelia hermsii
  • Infection caused by Borrelia hispanica
  • Infection caused by Borrelia latyschewii
  • Infection caused by Borrelia mazzottii
  • Infection caused by Borrelia miyamotoi
  • Infection caused by Borrelia parkeri
  • Infection caused by Borrelia persica
  • Infection caused by Borrelia venezuelensis
  • Intermediate lesion of pinta
  • Relapsing fever caused by Borrelia caucasica
  • Relapsing fever caused by Borrelia duttonii
  • Relapsing fever caused by Borrelia hermsii
  • Relapsing fever caused by Borrelia hispanica
  • Relapsing fever caused by Borrelia latyschewii
  • Relapsing fever caused by Borrelia mazzottii
  • Relapsing fever caused by Borrelia miyamotoi
  • Relapsing fever caused by Borrelia parkeri
  • Relapsing fever caused by Borrelia persica
  • Relapsing fever caused by Borrelia venezuelensis
  • Relapsing fever of North Africa
  • Relapsing fever of Southwest U.S. AND/OR Mexico
  • South African tick-bite fever
  • Tick-borne relapsing fever

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Relapsing fever due to any Borrelia species other than Borrelia recurrentis

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • African
      • tick fever
    • Carter's relapsing fever(Asiatic)
    • Dutton's relapsing fever(West African)
    • Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
      • African tick-borne
    • Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
      • mianeh
    • Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
      • relapsing (Borrelia)
        • Carter's (Asiatic)
    • Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
      • relapsing (Borrelia)
        • Dutton's (West African)
    • Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
      • relapsing (Borrelia)
        • Novy's
          • tick-borne
    • Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
      • relapsing (Borrelia)
        • tick-borne
    • Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
      • South African tick-bite
    • Novy's relapsing fever
      • tick-borne
    • Relapsing fever
      • Carter's (Asiatic)
    • Relapsing fever
      • Dutton's (West African)
    • Relapsing fever
      • Novy's (American)
    • Relapsing fever
      • tick-borne (endemic)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INF009
Parasitic, other specified and unspecified infections
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Boutonneuse Fever

    a febrile disease of the mediterranean area, the crimea, africa, and india, caused by infection with rickettsia conorii.

  • Rickettsia conorii

    a species of gram-negative, aerobic bacteria that is the etiologic agent of boutonneuse fever. it resembles rickettsia rickettsii but is antigenically distinct and less virulent for animals and man. (from bergey's manual of systematic bacteriology, vol 1)

Patient EducationClinical

Bacterial Infections

Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.

The full article covers:

  • What are bacteria?
  • How do bacterial infections spread?
  • What are the treatments for bacterial infections?
  • Can bacterial infections be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert A68.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
087.1 Tick-borne relaps fever
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About A68.1Overview

Is A68.1 (Relapsing fevers) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report tick-borne relapsing fever on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does A68.1 group to?

When tick-borne relapsing fever is the principal diagnosis on an inpatient stay, it groups to MS-DRG 867, 868, 869, with relative weights from 0.7297 to 2.0932 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of A68.1?

Under the General Equivalence Mappings, tick-borne relapsing fever converts to ICD-9-CM 087.1 (tick-borne relaps fever). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.