Viral and prion infections of the central nervous system (A80-A89)

ICD-10 codes A80-A89 cover viral and prion infections affecting the central nervous system (CNS), including poliomyelitis, rabies, various viral encephalitides, meningitis, and rare prion diseases. These codes are used to specify different types of CNS infections caused by viruses or prions, facilitating accurate diagnosis and proper medical record documentation.

This range includes acute and paralytic forms of poliomyelitis (codes A80.0-A80.9), helping differentiate vaccine-associated versus wild virus cases. The atypical virus infections subsection (A81) encompasses prion diseases such as Creutzfeldt-Jakob disease and Gerstmann-Straussler-Scheinker syndrome, alongside subacute sclerosing panencephalitis and progressive multifocal leukoencephalopathy. Rabies virus infections are detailed under A82, while mosquito-borne viral encephalitis such as Japanese and St. Louis encephalitis appear in A83. Tick-borne encephalitis viruses like Far Eastern and Central European types are found in A84. Other viral encephalitides, not elsewhere classified, fall under A85, with viral meningitis codes in A87. Lastly, A88 and A89 capture other specified or unspecified viral CNS infections, including rare presentations like enteroviral exanthematous fever and epidemic vertigo. The use of synonyms linked to each code aids coders in selecting the most precise diagnosis from terms like "infantile paralysis" for poliomyelitis or "variant Creutzfeldt-Jakob disease" for prion disorders, improving clinical clarity and billing accuracy.

Instructional Notations

Type 1 Excludes

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.

  • postpolio syndrome G14
  • sequelae of poliomyelitis B91
  • sequelae of viral encephalitis B94.1