1B40

Acute Rheumatic Fever Caused Diseases – ICD 10 & 11 Codes

A disease of the connective tissue, caused by an infection with the gram-positive bacteria Streptococcus pyogenes; (the disease may also affect the heart, joints, central nervous system, subcutaneous tissues, or skin). This disease is characterised by fever, polyarthritis, carditis, subcutaneous nodules, or erythema marginatum. Transmission is through haematogenous spread to other parts of the body after direct or indirect contact. Confirmation is by electrocardiography, sedimentation rate, or identification of Streptococcus pyogenes in a blood sample.

Acute rheumatic fever without mention of heart involvement

ICD 11 Code For Acute rheumatic fever without mention of heart involvement

1B40 Acute rheumatic fever without mention of heart involvement

1B40.0 Rheumatic arthritis, acute or subacute

1B40.Y Other specified acute rheumatic fever without mention of heart involvement

1B40.Z Acute rheumatic fever without mention of heart involvement, unspecified

ICD 10 Code For Acute rheumatic fever without mention of heart involvement

I00 Rheumatic fever without mention of heart involvement

Inclusions:

  • Arthritis: rheumatic, acute or subacute

Acute rheumatic fever with heart involvement

Definition of Acute rheumatic fever with heart involvement: A disease of the cardiovascular system, caused as a result of rheumatic fever. Rheumatic heart disease is characterised by repeated inflammation with fibrinous repair. This disease may present with cardinal anatomic changes of the valve including leaflet thickening, commissural fusion, and shortening and thickening of the tendinous cords. Inflammation and valve scarring may also occur. Confirmation is by a thoracic radiography or echocardiography.

ICD 11 Code For Acute rheumatic fever with heart involvement

1B41 Acute rheumatic fever with heart involvement

Exclusions:

  • Rheumatic mitral valve stenosis
  • Rheumatic mitral valve insufficiency
  • Rheumatic mitral valve prolapse
  • Rheumatic mitral stenosis with insufficiency
  • Rheumatic aortic valve stenosis
  • Rheumatic aortic valve insufficiency
  • Rheumatic aortic stenosis with insufficiency
  • Rheumatic tricuspid valve stenosis
  • Rheumatic tricuspid valve insufficiency
  • Rheumatic tricuspid valve stenosis with insufficiency
  • Rheumatic pulmonary valve stenosis
  • Rheumatic pulmonary valve insufficiency
  • Rheumatic pulmonary valve stenosis with insufficiency

1B41.0 Acute rheumatic pericarditis

Definition of Acute rheumatic pericarditis: A disease of the pericardium, caused by acute rheumatic fever. This disease is characterised by fever, dry cough, rapid heart rate, fatigue, or low blood pressure. Confirmation is by echocardiography, or thoracic radiography.

1B41.1 Acute rheumatic endocarditis

Definition of Acute rheumatic endocarditis: A disease of the endocardium, caused as a result of acute rheumatic fever. This disease is characterised by a high fever, chills, shortness of breath, rapid or irregular heartbeat, coughing up of blood, abdominal pain or septicaemia. This disease commonly presents with valvular involvement. Confirmation is by echocardiography.

1B41.10 Rheumatic aortitis

1B41.1Y Other specified acute rheumatic endocarditis

1B41.1Z Acute rheumatic endocarditis, unspecified

1B41.2 Acute rheumatic myocarditis

Definition of Acute rheumatic myocarditis: Acute rheumatic myocarditis is cardiac inflammation associated with acute rheumatic fever triggered by an autoimmune reaction to group A streptococci infection resulting in pancarditis involving inflammation of the myocardium, endocardium, and epicardium, usually with left-sided valvar involvement.

1B41.Y Other acute rheumatic heart disease

1B41.Z Acute rheumatic heart disease, unspecified

ICD 10 Code For Acute rheumatic fever with heart involvement

I01 Rheumatic fever with heart involvement

Exclusions:

  • Chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process. In cases where there is doubt as to rheumatic activity at the time of death refer to the mortality coding rules and guidelines in Volume 2.

I01.0 Acute rheumatic pericarditis

  • Any condition in I00 with pericarditis Rheumatic pericarditis (acute).

Excluding:

  • When not specified as rheumatic.

I01.1 Acute rheumatic endocarditis

  • Any condition in I00 with endocarditis or valvulitis Acute rheumatic valvulitis

I01.2 Acute rheumatic myocarditis

  • Any condition in I00 with myocarditis

I01.8 Other acute rheumatic heart disease

  • Any condition in I00 with other or multiple types of heart involvement Acute rheumatic pancarditis

I01.9 Acute rheumatic heart disease, unspecified

  • Any condition in I00 with unspecified type of heart involvement Rheumatic:
    – carditis, acute
    – heart disease, active or acute

Rheumatic chorea

Definition of Rheumatic chorea: Sydenham chorea is a movement disorder that occurs with rheumatic fever heumaragic fever. It is characterised by rapid, uncoordinated jerking movements affecting primarily the face, feet and hands. Sydenham’s chorea (SC) results from childhood infection with Group A beta-haemolytic Streptococci

ICD 11 Code For Rheumatic chorea

1B42 Rheumatic chorea

Exclusions:

  • Huntington chorea

ICD 10 Code For Rheumatic chorea

I02 Rheumatic chorea

Inclusions:

  • Sydenham chorea

Exclusions:

  • Chorea (NOS, Huntington)

I02.0 Rheumatic chorea with heart involvement

  • Chorea NOS with heart involvement Rheumatic chorea with heart involvement of any type classifiable under I01.

I02.9 Rheumatic chorea without heart involvement

  • Rheumatic chorea NOS

Scarlet Fever

Definition of Scarlet fever: A disease caused by an infection with the gram-positive bacteria Streptococcus pyogenes. This disease is characterised by a sore throat, fever, and a red rash. Transmission is commonly by inhalation of infected respiratory secretions, direct skin contact, or indirect contact.

ICD 11 Code For Scarlet fever

1B50 Scarlet fever


Inclusions:

  • NOS

Exclusions:

  • Streptococcal sore throat
  • Staphylococcal scarlatina

ICD 10 Code For Scarlet Fever

A38 Scarlet fever

Inclusions:

  • Scarlatina

Exclusions:

  • Streptococcal sore throat

Streptococcal Pharyngitis

Definition of Streptococcal pharyngitis: A disease of the pharynx, caused by an infection with the gram-positive bacteria Streptococcus pyogenes. This disease is characterised by fever, sore throat, tonsillar exudates, or large cervical lymph nodes. Transmission is commonly by inhalation of infected respiratory secretions, or indirect contact. Confirmation is by identification of Streptococcus pyogenes from a throat swab.

ICD 11 Code For Streptococcal pharyngitis

1B51 Streptococcal pharyngitis

Inclusions:

  • Streptococcal sore throat

Exclusions:

  • Scarlet fever

ICD 10 Code For Streptococcal pharyngitis

J02.0 Streptococcal pharyngitis

  • Streptococcal sore throat

Exclusions:

  • Scarlet fever

Toxic shock syndrome

ICD 11 Code For Toxic shock syndrome

1B52 Toxic shock syndrome

Exclusions:

  • endotoxic shock NOS

1B52.0 Streptococcal toxic shock syndrome

1B52.1 Staphylococcal toxic shock syndrome

ICD 10 Code For Toxic shock syndrome

A48.3 Toxic shock syndrome

Exclusions:

  • endotoxic shock NOS
  • sepsis NOS

Meningitis due to Streptococcus

Definition of Meningitis due to Streptococcus: A disease of the meninges, caused by an infection with the gram-positive bacteria Streptococcus. This disease commonly presents with nausea, vomiting, photophobia, and confusion. Transmission is through haematogenous spread to the meninges after inhalation of infected respiratory secretions. Confirmation is by identification of Streptococcus in the cerebrospinal fluid.

ICD 11 Code For Meningitis due to Streptococcus

1B53 Meningitis due to Streptococcus

Inclusions:

  • Streptococcal meningitis

ICD 10 Code For Meningitis due to Streptococcus

G00.2 Streptococcal meningitis

Meningitis due to Staphylococcus

Definition of Meningitis due to Staphylococcus: A disease of the meninges, caused by an infection with the gram-positive bacteria Staphylococcus. This disease commonly presents with acute inflammation of the meninges causing headache, fever, stiff neck, or with neurological deficits. Confirmation is by identification of Staphylococcus in the cerebrospinal fluid.

ICD 11 Code For Meningitis due to Staphylococcus

1B54 Meningitis due to Staphylococcus

Inclusions:

  • Staphylococcal meningitis

ICD 10 Code For Meningitis due to Staphylococcus

G00.3 Staphylococcal meningitis

Other specified staphylococcal or streptococcal diseases

ICD 11 Code For Other specified staphylococcal or streptococcal diseases

1B5Y Other specified staphylococcal or streptococcal diseases

Staphylococcal or streptococcal diseases, unspecified

ICD 11 Code For Staphylococcal or streptococcal diseases, unspecified

1B5Z Staphylococcal or streptococcal diseases, unspecified

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