A04.0

A04.0: Enteropathogenic Escherichia coli infection

Billable / specific codeICD-10-CM

A04.0 is a billable, specific ICD-10-CM code for enteropathogenic escherichia coli infection. It is valid for submission on a claim.

Check A04.0 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above A04.0

A category’s note binds every code beneath it.

Written on A04: Other bacterial intestinal infections

bacterial foodborne intoxications, NEC (A05.-)
tuberculous enteritis (A18.32)

Other codes that can never be billed with A04.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

A05Other bacterial foodborne intoxications, not elsewhere classified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

A04.0 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58761Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Alphabetic index entries that lead here

Diarrhea, diarrheal›due to›Escherichia coli›enteropathogenic
Enteritis›infectious NOS›due to›Escherichia coli›enteropathogenic

Code history

Unchanged in every release from FY2024 to FY2027.