2027 ICD-10-CM Diagnosis Code A69.8Other specified spirochetal infections
ICD-10-CM Codes›A00–B99›A65-A69›A69
- Billable — Valid for Submission
- Not Chronic
A69.8 is a billable ICD-10-CM diagnosis code for other specified spirochetal infections. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Borrelia infection of central nervous system
- Borreliosis
- Infection by Borrelia crocidurae
- Infection by Borrelia microti
- Infection by Borrelia turicatae
- 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
- Infection of skin caused by Borreliella
- Late cutaneous Lyme borreliosis
- Myocarditis caused by Borrelia
- Myocarditis caused by Spirochaetales
- Tropical phagedenic ulcer
- Ulcer caused by Treponema vincentii
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to A69.8: its own notes plus those printed at block A65-A69 and Chapter 1. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- diseases generally recognized as communicable or transmissible
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify resistance to antimicrobial drugs (Z16.-)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name A69.8, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming A69.8: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) J40
Castellani's A69.8
spirochetal NEC A69.8
Bronchospirochetosis A69.8
Castellani A69.8
Castellani's disease A69.8
Disease, diseased See Also: Syndrome;
Castellani's A69.8
Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) See Also: Necrosis; I96
spirochetal A69.8
spirochetal NEC A69.8
Infection, infected, infective (opportunistic) B99.9
lung See Also: Pneumonia; J18.9
spirochetal A69.8
lung A69.8
specified NEC A69.8
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
spirochetal NEC A69.8
spirochetal NEC A69.8
bronchopulmonary A69.8
lung A69.8
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Lyme Disease
Lyme disease is a bacterial infection you get from the bite of an infected tick. At first, Lyme disease usually causes symptoms such as a rash, fever, headache, and fatigue. But if it is not treated early, the infection can spread to your joints, heart, and nervous system. Prompt treatment can help you recover quickly.
The full article covers:
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Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert A69.8 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About A69.8Overview
What is the ICD-10 code for other specified spirochetal infections?
The ICD-10-CM code for other specified spirochetal infections is A69.8 (sometimes written as A698). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is A69.8 (Other spirochetal infections) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified spirochetal infections on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does A69.8 group to?
When other specified spirochetal infections is the principal diagnosis on an inpatient stay, it groups to MS-DRG 867, 869, 868, with relative weights from 0.6784 to 2.1855 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of A69.8?
Under the General Equivalence Mappings, other specified spirochetal infections converts to ICD-9-CM 104.8 (spirochetal infect NEC). The mapping is a direct match.
