A48.51 — Infant botulism
A48.51 is a billable, specific ICD-10-CM code for infant botulism. It is valid for submission on a claim.
Other codes that can never be billed with A48.51
These codes carry an Excludes1 note pointing at A48.51. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A48.51 alone.
Risk adjustment
A48.51 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
A48.51 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A57123Billing and Coding: Nerve Conduction Studies and Electromyography
- A57123Billing and Coding: Nerve Conduction Studies and Electromyography
How A48.51 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to A48.51.
- Botulism›infant
- Infection, infected, infective›Clostridium NEC›botulinum›infant
Related codes at this level
Codes that share A48.5. If A48.51 is not quite right, the correct code is usually one of these.
Questions about A48.51
- Is A48.51 a billable ICD-10-CM code?
- Yes. A48.51 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does A48.51 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Other bacterial diseases (A30-A49).