A04
A04 — Other bacterial intestinal infections
Non-billable headerICD-10-CM
A04 is a non-billable header ICD-10-CM code for other bacterial intestinal infections. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with A04
These codes carry an Excludes1 note pointing at A04. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A04 alone.
Risk adjustment
A04 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead A04
10 child codes. Green means billable.
- A04.0Enteropathogenic Escherichia coli infection
- A04.1Enterotoxigenic Escherichia coli infection
- A04.2Enteroinvasive Escherichia coli infection
- A04.3Enterohemorrhagic Escherichia coli infection
- A04.4Other intestinal Escherichia coli infections
- A04.5Campylobacter enteritis
- A04.6Enteritis due to Yersinia enterocolitica
- A04.7Enterocolitis due to Clostridium difficile
- A04.8Other specified bacterial intestinal infections
- A04.9Bacterial intestinal infection, unspecified
Questions about A04
- Is A04 a billable ICD-10-CM code?
- No. A04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does A04 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Intestinal infectious diseases (A00-A09).
- What cannot be coded together with A04?
- A04 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.