How to code for diagnosis and procedures related to “Monkey pox”

Diagnosis and Cpt code for Monkey Pox

Its been a lot in the news lately and you all know that there is a recent Viral Zoonosis spreading all over the world called “Monkey Pox“.

Many hospitals started to medicate their patients who come with this type of disease. Even some hospitals are ready to vaccinate people to avoid this type of infection.

Insurances starting to deny these services because of incorrect diagnoses and CPT coding.

You should need to understand what monkeypox is and how to code for the disease, in order to receive the payment.

“Monkey Pox” Common symptoms

One of the common symptoms of monkeypox is getting a rash around private parts or near your private parts.

For example,  Places around ” Male reproductive organ, labia, testicles, and female Reproductive organ or near your anus and rectum.

In some cases areas like Feet, hands,  face,  chest, or mouth. It could migrate from one place to another, including scabs, before healing.

Initially, the rash can look like pimples or blisters. if it is not treated properly it may be painful or very itchy.

Other symptoms of monkeypox can include:

  • Tired.
  • Chills.
  • Body pain and backache.
  • Respiratory symptoms like sore throat, nasal congestion, and dry cough.
  • Severe Headache.
  • Swollen lymph nodes.
  • High Fever.

The above points are limited and recorded symptoms.

You may experience all the mentioned above or only a few symptoms listed 

  • One of the noticed symptoms reported is people have flu-like symptoms before getting the rash.
  • In some cases, people get a rash first and then other symptoms.
  • The third type is only the rash.

Diagnosis code and procedures related to “Monkey Pox”

The correct DX code is – B04

According to the ICD 10 CM code, this can be used for reimbursement purposes.

CPT- 87593 is the testing code for the “Monkey Pox” text and it is effective from July/26/2022.

Two approved vaccines that are for Monkey Pox

CPT90611 for the giant’s vaccine which is especially for smallpox

Monkey Pox  vaccine is 0.5 milliliters and then we have the ACAM2000 which is CPT code 90622 and that is a 0.3 milliliter

Monkey Pox Cases Counts in the United States

The below Table shows the “Monkey Pox” affected location with cases count and Range of the cases.

Location Cases Case Range
Alabama 53 51 to 100
Alaska 3 1 to 10
Arizona 281 101 to 500
Arkansas 28 11 to 50
California 3291 >500
Colorado 189 101 to 500
Connecticut 89 51 to 100
Delaware 21 11 to 50
District of Columbia 414 101 to 500
Florida 1739 >500
Georgia 1299 >500
Hawaii 15 11 to 50
Idaho 9 1 to 10
Illinois 1005 >500
Indiana 147 101 to 500
Iowa 18 11 to 50
Kansas 5 1 to 10
Kentucky 27 11 to 50
Louisiana 162 101 to 500
Maine 5 1 to 10
Maryland 461 101 to 500
Massachusetts 280 101 to 500
Michigan 165 101 to 500
Minnesota 109 101 to 500
Mississippi 29 11 to 50
Missouri 42 11 to 50
Montana 3 1 to 10
Nebraska 25 11 to 50
Nevada 127 101 to 500
New Hampshire 19 11 to 50
New Jersey 479 101 to 500
New Mexico 23 11 to 50
New York 3124 >500
Non-US Resident 3 1 to 10
North Carolina 288 101 to 500
North Dakota 4 1 to 10
Ohio 151 101 to 500
Oklahoma 22 11 to 50
Oregon 141 101 to 500
Pennsylvania 477 101 to 500
Puerto Rico 97 51 to 100
Rhode Island 42 11 to 50
South Carolina 100 51 to 100
South Dakota 2 1 to 10
Tennessee 156 101 to 500
Texas 1472 >500
Total 17432
Utah 93 51 to 100
Vermont 2 1 to 10
Virginia 302 101 to 500
Washington 332 101 to 500
West Virginia 5 1 to 10
Wisconsin 56 51 to 100
Wyoming 1 1 to 10

 

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