A04.72
A04.72: Enterocolitis due to Clostridium difficile, not specified as recurrent
Billable / specific codeICD-10-CM
A04.72 is a billable, specific ICD-10-CM code for enterocolitis due to clostridium difficile, not specified as recurrent. It is valid for submission on a claim.
Check A04.72 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A04.72 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›not specified as recurrent
- Colitis›Clostridium difficile›not specified as recurrent
- Colitis›pseudomembranous›not specified as recurrent
- Enteritis›Clostridioides difficile›not specified as recurrent
- Enterocolitis›pseudomembranous›not specified as recurrent
- Diarrhea, diarrheal›due to›Clostridium difficile›not specified as recurrent
- Enteritis›Clostridium›difficile›not specified as recurrent
- Enterocolitis›due to›Clostridioides difficile›not specified as recurrent
- Enterocolitis›due to›Clostridium difficile›not specified as recurrent
- Colitis›toxic NEC›due to›Clostridioides difficile›not specified as recurrent
- Colitis›toxic NEC›due to›Clostridium difficile›not specified as recurrent
- Enteritis›infectious NOS›due to›Clostridioides difficile›not specified as recurrent
Code history
Unchanged in every release from FY2024 to FY2027.