A42.0
A42.0: Pulmonary actinomycosis
Billable / specific codeICD-10-CM
A42.0 is a billable, specific ICD-10-CM code for pulmonary actinomycosis. It is valid for submission on a claim.
Check A42.0 with the rest of the claim: free scrubberOther codes that can never be billed with A42.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J17Pneumonia in diseases classified elsewhere
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A42.0 is named in 4 Medicare coverage policies: 4 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)
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Actinomycosis, actinomycotic›pulmonary
- Actinomycosis, actinomycotic›with pneumonia
- Pneumonia›in›actinomycosis
Code history
Unchanged in every release from FY2024 to FY2027.