A04.7
A04.7 — Enterocolitis due to Clostridium difficile
Non-billable headerICD-10-CM
A04.7 is a non-billable header ICD-10-CM code for enterocolitis due to clostridium difficile. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Clostridioides difficile colitis
- Foodborne intoxication by Clostridium difficile
- Pseudomembraneous colitis
Other codes that can never be billed with A04.7
These codes carry an Excludes1 note pointing at A04.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A04.7 alone.
Risk adjustment
A04.7 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 A04.7
2 child codes. Green means billable.
Related codes at this level
Codes that share A04. If A04.7 is not quite right, the correct code is usually one of these.
- 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
- A04.8Other specified bacterial intestinal infections
- A04.9Bacterial intestinal infection, unspecified
Questions about A04.7
- Is A04.7 a billable ICD-10-CM code?
- No. A04.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does A04.7 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Intestinal infectious diseases (A00-A09).