A31.0
A31.0: Pulmonary mycobacterial infection
Billable / specific codeICD-10-CM
A31.0 is a billable, specific ICD-10-CM code for pulmonary mycobacterial infection. It is valid for submission on a claim.
Check A31.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Infection due to Mycobacterium avium
- Infection due to Mycobacterium intracellulare [Battey bacillus]
- Infection due to Mycobacterium kansasii
Risk adjustment
A31.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 6 Opportunistic Infections0.381 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
A31.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Battey Mycobacterium infection
- Disease, diseased›Battey
- Disease, diseased›photochromogenic(acid-fast bacilli) (pulmonary)
- Mycobacterium, mycobacterial›avium(intracellulare complex)
- Mycobacterium, mycobacterial›Battey
- Mycobacterium, mycobacterial›intracellulare(Battey bacillus)
- Mycobacterium, mycobacterial›kansasii(yellow bacillus)
- Mycobacterium, mycobacterial›pulmonary(atypical)
- Infection, infected, infective›lung›atypical Mycobacterium
- Mycobacterium, mycobacterial›atypical›pulmonary
Code history
Unchanged in every release from FY2024 to FY2027.