2027 ICD-10-CM Diagnosis Code A92.5Zika virus disease
ICD-10-CM Codes›A00–B99›A90-A99›A92
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 865 through 866. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 186 closely related codes. 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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to A92.5: its own notes plus those printed at A92 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
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Zika virus fever
- Zika virus infection
- Zika NOS
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- congenital Zika virus disease (P35.4)
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.
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
Zika NOS A92.5
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Zika Virus Infection
a viral disease transmitted by the bite of aedes mosquitoes infected with zika virus. its mild dengue-like symptoms include fever, rash, headaches and arthralgia. the viral infection during pregnancy, in rare cases, is associated with congenital brain and ocular abnormalities, called congenital zika syndrome, including microcephaly and may also lead to guillain-barre syndrome.
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
What is the ICD-10 code for Zika virus disease?
The ICD-10-CM code for Zika virus disease is A92.5 (sometimes written as A925). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
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 866, 865, with relative weights from 0.8691 to 1.3153 depending on complications. Higher weights mean higher Medicare reimbursement.
Is A92.5 a CC or MCC?
CMS lists A92.5 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 186 closely related codes in its exclusion list.
Can A92.5 be reported with P35.4?
Not as a rule. The Excludes1 note on A92.5 lists "congenital Zika virus disease (P35.4)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).