A77.0 Spotted fever due to Rickettsia rickettsii

The ICD-10-CM code for Spotted fever due to Rickettsia rickettsii is A77.0 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

1: Certain infectious and parasitic diseases (A00-B99)

Section

A75-A79: Rickettsioses (A75-A79)

Category A77

11 codes (9 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to A77.0:

• Sao Paulo fever or typhus
• Rocky Mountain (spotted) fever
• Lone Star fever
• Typhus (fever) › Sao Paulo
• Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › Rocky Mountain spotted
• Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › Bullis
• Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › Sao Paulo
• Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › Lone Star

Inclusion Terms

• Rocky Mountain spotted fever
• Sao Paulo fever

U.S. Hospital Utilization

• An estimated 745 U.S. inpatient stays in 2023 included A77.0 among the documented diagnoses.
• 185 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

HIV Infections (TOC entry)

a. Human Immunodeficiency Virus (HIV) Infections .............................................................. 19

Infectious agents causing diseases in other chapters (TOC)

b. Infectious agents as the cause of diseases classified to other chapters ................................. 22

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)