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ICD-10 Coding for Fever and Chills(R50.0, R50.9, R50.2)

Complete ICD-10-CM coding and documentation guide for Fever and Chills. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Pyrexia with RigorsFebrile Chills

Related ICD-10 Code Ranges

Complete code families applicable to Fever and Chills

R50Primary Range

Fever of other and unknown origin

This range includes codes for fever with various specificities, including fever with chills and unspecified fever.

Other sepsis

This range is relevant when fever and chills are associated with sepsis, requiring specific coding for the underlying infection.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R50.0Fever with chillsUse when both fever and chills are present and documented.
  • Documented fever and chills occurring together
  • Temperature measurement and description of chills
R50.9Fever, unspecifiedUse when fever is present without a specific diagnosis or accompanying chills.
  • Documented fever without a specified cause
R50.2Drug-induced feverUse when fever is clearly linked to a specific medication.
  • Documented temporal relationship between drug administration and fever onset

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for fever with chills

Essential facts and insights about Fever and Chills

The ICD-10 code for fever with chills is R50.0, used when both symptoms are documented.

Primary ICD-10-CM Codes for fever and chills

Fever with chills
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of both fever and chills

Applicable To

  • Fever with rigors

Excludes

  • Fever of unknown origin (R50.9)

Clinical Validation Requirements

  • Documented fever and chills occurring together
  • Temperature measurement and description of chills

Code-Specific Risks

  • Risk of undercoding if chills are not documented

Coding Notes

  • Ensure both fever and chills are explicitly documented to use this code.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Fever, unspecified

R50.9
Use R50.9 when the fever is present without documented chills or specific cause.

Fever with chills

R50.0
Use R50.0 if chills are documented with the fever.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Fever and Chills to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R50.0.

Impact

Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Ensure thorough symptom documentation, Review patient history for complete symptomatology

Impact

Reimbursement: Potential for reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreased data quality and accuracy in patient records.

Mitigation Strategy

Ensure documentation supports the most specific code available, such as R50.0 for fever with chills.

Impact

Using unspecified codes when specific codes are applicable.

Mitigation Strategy

Thorough documentation and regular coding audits.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Fever and Chills, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Fever and Chills

Use these documentation templates to ensure complete and accurate documentation for Fever and Chills. These templates include all required elements for proper coding and billing.

Emergency Department Visit for Fever and Chills

Specialty: Emergency Medicine

Required Elements

  • Patient age and gender
  • Onset and duration of symptoms
  • Temperature readings
  • Description of chills
  • Medication history

Example Documentation

Patient is a 45-year-old male presenting with fever of 102°F and chills for 2 days. No recent medication changes. Blood cultures pending.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has fever.
Good Documentation Example
Patient presents with fever of 102°F and chills for 2 days. Blood cultures drawn.
Explanation
The good example provides specific temperature and symptom details, supporting the use of R50.0.

Need help with ICD-10 coding for Fever and Chills? Ask your questions below.

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