ICD-10 Code A27.0 – Leptospirosis icterohemorrhagica (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Leptospirosis icterohemorrhagica is A27.0.
2026 ICD-10-CM Diagnosis Code A27.0 – Leptospirosis icterohemorrhagica

What it is

A27.0 identifies leptospirosis icterohemorrhagica, a severe form of leptospirosis caused by infection with Leptospira bacteria. It is associated with jaundice and bleeding manifestations.

Clinical signs

Typical findings include fever, headache, myalgia, jaundice, and hemorrhagic features such as bleeding from mucous membranes. Clinical features vary; refer to documentation.

When to use this code

Use this code when the provider documents leptospirosis icterohemorrhagica or Weil disease. It fits confirmed cases with jaundice and hemorrhagic involvement, or when the record clearly identifies this severe leptospiral syndrome. Check documentation if the diagnosis is only suspected.

Do not use for

Do not use A27.0 for nonspecific leptospirosis without icterohemorrhagic features. Also avoid it when the chart documents a different infectious cause or only exposure without confirmed disease.

Coding tip

Code the most specific leptospirosis form documented; if the note says “Weil disease,” A27.0 is usually the correct choice.

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