A04.71
A04.71: Enterocolitis due to Clostridium difficile, recurrent
Billable / specific codeICD-10-CM
A04.71 is a billable, specific ICD-10-CM code for enterocolitis due to clostridium difficile, recurrent. It is valid for submission on a claim.
Check A04.71 with the rest of the claim: free scrubberOther codes that can never be billed with A04.71
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z86.17Personal history of Clostridioides difficile infection
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A04.71 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A57342Billing and Coding: Diagnostic and Therapeutic Colonoscopy
Alphabetic index entries that lead here
- Colitis›Clostridioides difficile›recurrent
- Colitis›Clostridium difficile›recurrent
- Colitis›pseudomembranous›recurrent
- Enteritis›Clostridioides difficile›recurrent
- Enterocolitis›pseudomembranous›recurrent
- Diarrhea, diarrheal›due to›Clostridium difficile›recurrent
- Enteritis›Clostridium›difficile›recurrent
- Enterocolitis›due to›Clostridioides difficile›recurrent
- Enterocolitis›due to›Clostridium difficile›recurrent
- Colitis›toxic NEC›due to›Clostridioides difficile›recurrent
- Colitis›toxic NEC›due to›Clostridium difficile›recurrent
- Enteritis›infectious NOS›due to›Clostridioides difficile›recurrent
Code history
Unchanged in every release from FY2024 to FY2027.