A41

A41: Other sepsis

Non-billable headerICD-10-CM

A41 is a non-billable header ICD-10-CM code for other sepsis. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

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

The excluded condition is not part of this code, but a patient can have both. You may code both.

sepsis (due to) (in) actinomycotic (A42.7)
sepsis (due to) (in) anthrax (A22.7)
sepsis (due to) (in) candidal (B37.7)
sepsis (due to) (in) Erysipelothrix (A26.7)
sepsis (due to) (in) extraintestinal yersiniosis (A28.2)
sepsis (due to) (in) gonococcal (A54.86)
sepsis (due to) (in) herpesviral (B00.7)
sepsis (due to) (in) listerial (A32.7)
sepsis (due to) (in) melioidosis (A24.1)
sepsis (due to) (in) meningococcal (A39.2-A39.4)
sepsis (due to) (in) plague (A20.7)
sepsis (due to) (in) tularemia (A21.7)
toxic shock syndrome (A48.3)

The underlying condition must be sequenced before this code.

, if applicable, postprocedural sepsis (T81.44-)
sepsis due to central venous catheter (T80.211-)
sepsis during labor (O75.3)
sepsis following abortion, ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)
sepsis following immunization (T88.0-)
sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)

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

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

Unchanged in every release from FY2024 to FY2027.

8 child codes. Green means billable.