A31.2

A31.2: Disseminated mycobacterium avium-intracellulare complex (DMAC)

Billable / specific codeICD-10-CM

A31.2 is a billable, specific ICD-10-CM code for disseminated mycobacterium avium-intracellulare complex (dmac). It is valid for submission on a claim.

Check A31.2 with the rest of the claim: free scrubber

Inclusion terms

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

MAC sepsis

Excludes2 inherited from the categories above A31.2

Not part of this code, but both may be coded when both are present.

Written on A31: Infection due to other mycobacteria

leprosy (A30.-)
tuberculosis (A15-A19)

Risk adjustment

A31.2 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.

Alphabetic index entries that lead here

DMAC(disseminated mycobacterium avium- intracellulare complex)
Complex›disseminated mycobacterium avium- intracellulare(DMAC)

Code history

Unchanged in every release from FY2024 to FY2027.