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
CPT– 90611 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 |
