2026 ICD-10-CM Diagnosis Code A92.5Zika virus disease
ICD-10-CM Codes›A00–B99›A90-A99›A92
- Billable — Valid for Submission
- Not Chronic
A92.5 is a billable ICD-10-CM diagnosis code for Zika virus disease. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 865 through 866. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Viral infection.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Zika virus disease
- Zika virus infection during pregnancy
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Zika virus fever
- Zika virus infection
- Zika NOS
Type 1 Excludes
- congenital Zika virus disease P35.4
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Disease, diseased - See Also: Syndrome;
- Zika virus - A92.5
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) - R50.9
- Zika virus - A92.5
- Infection, infected, infective (opportunistic) - B99.9
- Zika virus - A92.5
- Zika NOS - A92.5
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Disease, diseased
- Zika virus
- Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
- Zika virus
- Infection, infected, infective(opportunistic)
- Zika virus
- Zika NOS
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Zika Virus
Zika is a virus that is spread mostly by mosquitoes. A pregnant mother can pass it to her baby during pregnancy or around the time of birth. It can spread through sexual contact. There have also been reports that the virus has spread through blood transfusions.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert A92.5 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement A92.5 replaces the following previously assigned code(s):
- A92.8 - Other specified mosquito-borne viral fevers
Questions About A92.5Overview
Is A92.5 (Other mosquito-borne viral fevers) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report Zika virus disease on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does A92.5 group to?
When Zika virus disease is the principal diagnosis on an inpatient stay, it groups to MS-DRG 865, 866, with relative weights from 0.8696 to 1.4983 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of A92.5?
Under the General Equivalence Mappings, Zika virus disease converts to ICD-9-CM 066.3 (mosquito-borne fever NEC). The mapping is approximate, so confirm the match fits the documentation.
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.
