A02.1
A02.1: Salmonella sepsis
Billable / specific codeICD-10-CM
A02.1 is a billable, specific ICD-10-CM code for salmonella sepsis. It is valid for submission on a claim.
Check A02.1 with the rest of the claim: free scrubberOther codes that can never be billed with A02.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- A05Other bacterial foodborne intoxications, not elsewhere classified
Risk adjustment
A02.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock0.500 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
A02.1 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56809Billing and Coding: Transesophageal Echocardiography (TEE)
- A57326Billing and Coding: Electrocardiograms
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- Sepsis›Salmonella(arizonae) (cholerae-suis) (enteritidis) (typhimurium)
- Infection, infected, infective›Salmonella›with›sepsis
- Intoxication›foodborne›due to›Salmonella›with›sepsis
- Poisoning›food NEC›due to›salmonella›with›sepsis
Code history
Unchanged in every release from FY2024 to FY2027.