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

Excludes1 inherited from the categories above A04.7

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 A04.7

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

A05Other bacterial foodborne intoxications, not elsewhere classified
K59.3Megacolon, not elsewhere classified
Z86.17Personal history of Clostridioides difficile infection

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead A04.7

2 child codes. Green means billable.