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A90 vs A91

A90 (Dengue fever [classical dengue]) compared with A91 (Dengue hemorrhagic fever), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. A90 carries an Excludes1 note covering A91: “dengue hemorrhagic fever (A91)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

A90Dengue fever [classical dengue]A91Dengue hemorrhagic fever
Billing statusBillableBillable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)
DefinitionDengue fever [classical dengue] is a billable ICD-10-CM diagnosis code (A90).Dengue hemorrhagic fever is a billable ICD-10-CM diagnosis code (A91).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources