ICD-10 A69.20
Billable / Specific CCLyme disease, unspecified
About ICD-10-CM A69.20
ICD-10-CM code A69.20 represents Lyme disease, unspecified. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A69). The 2026 edition of ICD-10-CM A69.20 became effective on October 1, 2025.
Coding Tips for A69.20
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
A69.20 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Lyme disease, unspecified. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for A69.20
Local Coverage Determinations (LCDs) from CMS MACs that list A69.20 as a covered diagnosis.
Showing top 10 of 57 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing A69.20.
2 Cigna
2 Medicare
1 Aetna
CPT Codes Commonly Billed with A69.20
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 93319 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- 93307 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- 93351 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- 93355 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- J1250 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- 93304 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- 93352 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- J0280 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- 93318 CMS LCD: Billing and Coding: Echocardiography CMS LCD
- 93308 CMS LCD: Billing and Coding: Echocardiography CMS LCD
Convert A69.20 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| A69.20 | 08881 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To A69.20
Other codes in section A65-A69 (Other spirochetal diseases).
ICD-10 A69.20, Billing FAQ
Is ICD-10 code A69.20 billable? +
Yes, A69.20 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is A69.20 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with A69.20? +
Procedures frequently paired with A69.20 include: 93319, 93307, 93351, 93355, J1250.
What ICD-9 codes does A69.20 map to? +
Per CMS GEMs, A69.20 maps to ICD-9 codes: 08881. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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