ICD Code A69.20

ICD code A69.20 is Lyme disease, unspecified.

1. Patient presents with a history of possible exposure to ticks in an endemic area.

2. Clinical symptoms suggestive of Lyme disease are present, such as fever, headache, fatigue, or myalgia.

3. There is no documentation of a specific stage or manifestation of Lyme disease (e.g., erythema migrans, neurological, or cardiac involvement).

4. Laboratory testing for Lyme disease may be pending, inconclusive, or not performed.

5. The diagnosis is based on clinical suspicion without further specification of disease stage or organ involvement.

Relevant CPT codes that may be used to treat ICD code A69.20 include:

- 99202–99215 (Evaluation and Management services)

- 96365–96372 (Therapeutic, prophylactic, and diagnostic injections and infusions)

- 36415 (Collection of venous blood by venipuncture)

- 80053 (Comprehensive metabolic panel)

- 84443 (Thyroid stimulating hormone test)

- 86618 (Antibody; Borrelia burgdorferi)

- 87476 (Infectious agent detection by nucleic acid, Borrelia burgdorferi)

- 90772 (Therapeutic, prophylactic, or diagnostic injection; specify substance or drug)

- J0696 (Injection, ceftriaxone sodium, per 250 mg)

- J0456 (Injection, azithromycin, 500 mg)

These CPT codes are commonly associated with the diagnosis and management of A69.20. Always verify payer-specific requirements and clinical documentation.

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