2024 ICD-10-CM Diagnosis Code B05.3

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Post measles otitis media
• Sequela of infection caused by Morbillivirus

Clinical Information

• Measles

  a highly contagious infectious disease caused by morbillivirus, common among children but also seen in the nonimmune of any age, in which the virus enters the respiratory tract via droplet nuclei and multiplies in the epithelial cells, spreading throughout the mononuclear phagocyte system.

• Measles Vaccine

  a live attenuated virus vaccine of chick embryo origin, used for routine immunization of children and for immunization of adolescents and adults who have not had measles or been immunized with live measles vaccine and have no serum antibodies against measles. children are usually immunized with measles-mumps-rubella combination vaccine. (from dorland, 28th ed)

• Measles virus

  the type species of morbillivirus and the cause of the highly infectious human disease measles, which affects mostly children.

• Measles-Mumps-Rubella Vaccine

  a combined vaccine used to prevent measles; mumps; and rubella.

• Rubella

  an acute infectious disease caused by the rubella virus. the virus enters the respiratory tract via airborne droplet and spreads to the lymphatic system.

• Rubella virus

  the type (and only) species of rubivirus causing acute infection in humans, primarily children and young adults. humans are the only natural host. a live, attenuated vaccine is available for prophylaxis.

• Subacute Sclerosing Panencephalitis

  a rare, slowly progressive encephalitis caused by chronic infection with the measles virus. the condition occurs primarily in children and young adults, approximately 2-8 years after the initial infection. a gradual decline in intellectual abilities and behavioral alterations are followed by progressive myoclonus; muscle spasticity; seizures; dementia; autonomic dysfunction; and ataxia. death usually occurs 1-3 years after disease onset. pathologic features include perivascular cuffing, eosinophilic cytoplasmic inclusions, neurophagia, and fibrous gliosis. it is caused by the sspe virus, which is a defective variant of measles virus. (from adams et al., principles of neurology, 6th ed, pp767-8)

• Viral Fusion Proteins

  proteins, usually glycoproteins, found in the viral envelopes of a variety of viruses. they promote cell membrane fusion and thereby may function in the uptake of the virus by cells.

• Rubivirus

  a genus of the family togaviridae containing only one recognized species, rubella virus. transmission is primarily by aerosolization.

B05.3 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
152	OTITIS MEDIA AND URI WITH MCC	03	1.1882
153	OTITIS MEDIA AND URI WITHOUT MCC	03	0.7348

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert B05.3 to ICD-9-CM

• ICD-9-CM Code: 055.2 - Postmeasles otitis media

Patient Education

Ear Infections

Ear infections are the most common reason parents bring their child to a doctor. Three out of four children will have at least one ear infection by their third birthday. Adults can also get ear infections, but they are less common.

The infection usually affects the middle ear and is called otitis media. The tubes inside the ears become clogged with fluid and mucus. This can affect hearing, because sound cannot get through all that fluid.

If your child isn't old enough to say "My ear hurts," here are a few things to look for:

• Tugging at ears
• Crying more than usual
• Fluid draining from the ear
• Trouble sleeping
• Balance difficulties
• Hearing problems

Your health care provider will diagnose an ear infection by looking inside the ear with an instrument called an otoscope.

Often, ear infections go away on their own. Your health care provider may recommend pain relievers. Severe infections and infections in young babies may require antibiotics.

Children who get infections often may need surgery to place small tubes inside their ears. The tubes relieve pressure in the ears so that the child can hear again.

NIH: National Institute on Deafness and Other Communication Disorders

[Learn More in MedlinePlus]

Measles

Measles is an infectious disease caused by a virus. It spreads easily from person to person. It causes a blotchy red rash. The rash often starts on the head and moves down the body. Other symptoms include:

• Fever
• Cough
• Runny nose
• Conjunctivitis (pink eye)
• Feeling achy and run down
• Tiny white spots inside the mouth

Sometimes measles can lead to serious problems. There is no treatment for measles, but the measles-mumps-rubella (MMR) vaccine can prevent it.

"German measles", also known as rubella, is a completely different illness.

Centers for Disease Control and Prevention

[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.