A05.5

A05.5: Foodborne Vibrio vulnificus intoxication

Billable / specific codeICD-10-CM

A05.5 is a billable, specific ICD-10-CM code for foodborne vibrio vulnificus intoxication. It is valid for submission on a claim.

Check A05.5 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above A05.5

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 A05.5

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

A04Other bacterial intestinal infections
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

A05.5 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56619Billing and Coding: Nerve Conduction Studies and Electromyography
A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Alphabetic index entries that lead here

Infection, infected, infective›Vibrio›vulnificus›foodborne intoxication
Intoxication›foodborne›due to›Vibrio›vulnificus
Poisoning›food NEC›due to›Vibrio›vulnificus

Code history

Unchanged in every release from FY2024 to FY2027.