A05.1

A05.1: Botulism food poisoning

Billable / specific codeICD-10-CM

A05.1 is a billable, specific ICD-10-CM code for botulism food poisoning. It is valid for submission on a claim.

Check A05.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

infant botulism (A48.51)
wound botulism (A48.52)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Botulism NOS
Classical foodborne intoxication due to Clostridium botulinum

Excludes1 inherited from the categories above A05.1

A category’s note binds every code beneath it.

Written on A05: Other bacterial foodborne intoxications, not elsewhere classified

Clostridium difficile foodborne intoxication and infection (A04.7-)
Escherichia coli infection (A04.0-A04.4)
listeriosis (A32.-)
salmonella foodborne intoxication and infection (A02.-)
toxic effect of noxious foodstuffs (T61-T62)

Other codes that can never be billed with A05.1

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

G70Myasthenia gravis and other myoneural disorders
A04Other bacterial intestinal infections
A48.5Other specified botulism
T61Toxic effect of noxious substances eaten as seafood
T62Toxic effect of other noxious substances eaten as food
T78.1Other adverse food reactions, not elsewhere classified

Risk adjustment

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

Medicare coverage

A05.1 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A56619Billing and Coding: Nerve Conduction Studies and Electromyography
A57123Billing and Coding: Nerve Conduction Studies and Electromyography

Alphabetic index entries that lead here

Botulism(foodborne intoxication)
Poisoning›botulism
Poisoning›Clostridium botulinum
Enteritis›Clostridium›botulinum(food poisoning)
Infection, infected, infective›Clostridium NEC›botulinum(food poisoning)
Intoxication›foodborne›classical(Clostridium botulinum)
Poisoning›Bacillus B›botulinus
Intoxication›foodborne›due to›Clostridium›botulinum
Poisoning›food NEC›due to›Bacillus›botulinus

Code history

Unchanged in every release from FY2024 to FY2027.