A07.3 — Isosporiasis
A07.3 is a billable, specific ICD-10-CM code for isosporiasis. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Infection due to Isospora belli and Isospora hominis
- Intestinal coccidiosis
- Isosporosis
Other codes that can never be billed with A07.3
These codes carry an Excludes1 note pointing at A07.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A07.3 alone.
- B60Other protozoal diseases, not elsewhere classified
Risk adjustment
A07.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
A07.3 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
How A07.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to A07.3.
- Coccidiosis(intestinal)
- Isosporiasis, isosporosis
- Colitis›coccidial
- Diarrhea, diarrheal›coccidial
- Dysentery, dysenteric›coccidial
- Enteritis›coccidial
- Infection, infected, infective›Isospora belli or hominis
- Infestation›coccidial
Related codes at this level
Codes that share A07. If A07.3 is not quite right, the correct code is usually one of these.
Questions about A07.3
- Is A07.3 a billable ICD-10-CM code?
- Yes. A07.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does A07.3 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Intestinal infectious diseases (A00-A09).