A46
A46: Erysipelas
Billable / specific codeICD-10-CM
A46 is a billable, specific ICD-10-CM code for erysipelas. It is valid for submission on a claim.
Check A46 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- postpartum or puerperal erysipelas (O86.89)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A46 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57221Billing and Coding: Plastic Surgery
Alphabetic index entries that lead here
- Erysipelas(gangrenous) (infantile) (newborn) (phlegmonous) (suppurative)
- Erysipelas›external ear
- Arthritis, arthritic›due to or associated with›erysipelas
- Otitis›externa›in›erysipelas
Code history
Unchanged in every release from FY2024 to FY2027.