A28.1
Cat-scratch disease
Clinical Classification Guidelines
Inclusion Terms
- Cat-scratch fever
Medical Intelligence & Overview
Cat-scratch disease, also known as cat-scratch fever, is an infection that people can get after being scratched or bitten by a cat that carries certain bacteria. Although it is generally mild, it can sometimes lead to more serious health issues. Recognizing the symptoms and understanding how it spreads can help in managing and preventing this disease.
Causes & Symptoms
Clinical Causes: Being scratched or bitten by a cat infected with bacteria called Bartonella henselae Having a cat that hunts and catches wild animals, which may carry the bacteria Contact with fleas on cats, which can transmit the bacteria
Key Symptoms: Swollen and painless lymph nodes near the bite or scratch site Fever and chills Fatigue and general feeling of illness Headache Sores or bumps at the site of the scratch or bite Loss of appetite Muscle aches
Diagnostic & Treatment
Diagnosis Path: Healthcare providers usually diagnose cat-scratch disease based on the patient’s history of contact with cats and physical exam findings. Blood tests can detect antibodies to the bacteria, and sometimes a biopsy of affected lymph nodes is performed to confirm the diagnosis. Imaging tests are rarely needed but can help rule out other conditions.
Treatment Protocols: Most cases of cat-scratch disease improve on their own within a few weeks. Treatment may include:
Clinical Advice & FAQs
Billing Guidance
Is A28.1 a billable ICD-10 code?
Yes, A28.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A28.1?
Clinical documentation must specify the nature of Cat-scratch disease and any associated comorbidities for accurate reporting.
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