A98.5 — Hemorrhagic fever with renal syndrome
Is A98.5 billable?
Yes — A98.5 is billable for FY2027. A98.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. A98.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.
A98.5 at a glance
| Code | A98.5 |
|---|---|
| Description | Hemorrhagic fever with renal syndrome |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does A98.5 group to?
A98.5 sits in MDC 11 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 689Kidney and Urinary Tract Infections with MCCmedical
- 690Kidney and Urinary Tract Infections without MCCmedical
As a secondary diagnosis, A98.5 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is A98.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to A98.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hantaan virus disease (Korean hemorrhagic fever)
- Hantavirus disease (with renal manifestations) (Dobrava) (Puumala) (Seoul)
- Nephropathia epidemica
- Nephrosonephritis, hemorrhagic (endemic)
- Fever › epidemic hemorrhagic (inanition) (of unknown origin) (persistent) (with chills) (with rigor)
- Fever › Korean hemorrhagic (inanition) (of unknown origin) (persistent) (with chills) (with rigor)
- Fever › Russian hemorrhagic (inanition) (of unknown origin) (persistent) (with chills) (with rigor)
- Fever › Songo (inanition) (of unknown origin) (persistent) (with chills) (with rigor)
- Disease, diseased › Hantavirus, with pulmonary manifestations › with renal manifestations
- Disease, diseased › viral, virus › Hanta
- Disease, diseased › viral, virus › Hantaan
- Fever › hemorrhagicNOS › with renal syndrome (inanition) (of unknown origin) (persistent) (with chills) (with rigor)
Excludes1 — never code together
The conditions below can never be reported together with A98.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- hantavirus (cardio)-pulmonary syndrome (B33.4)
Inclusion terms
Alternative wording in documentation that is classified to A98.5.
- Epidemic hemorrhagic fever
- Korean hemorrhagic fever
- Russian hemorrhagic fever
- Hantaan virus disease
- Hantavirus disease with renal manifestations
- Nephropathia epidemica
- Songo fever
Excludes1 — never code together — inherited from A98
The conditions below can never be reported together with A98.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 1
Report an additional code alongside A98.5 to fully describe the condition. A98.5 is sequenced first.
- code to identify resistance to antimicrobial drugs (Z16.-)
Excludes2 — not included here — inherited from Chapter 1
The conditions below are not part of A98.5, but a patient may have both at the same time. When documentation supports it, A98.5 and the excluded code may both be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
How long has A98.5 existed?
A98.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with A98.5?
ICD-10-CM declares these codes mutually exclusive with A98.5 — exactly one of each pair can be correct for a given encounter.