A48.51

A48.51: Infant botulism

Billable / specific codeICD-10-CM

A48.51 is a billable, specific ICD-10-CM code for infant botulism. It is valid for submission on a claim.

Check A48.51 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above A48.51

A category’s note binds every code beneath it.

Written on A48.5: Other specified botulism

food poisoning due to toxins of Clostridium botulinum (A05.1)

Written on A48: Other bacterial diseases, not elsewhere classified

actinomycetoma (B47.1)

Other codes that can never be billed with A48.51

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

G70Myasthenia gravis and other myoneural disorders
A05.1Botulism food poisoning

Risk adjustment

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

Medicare coverage

A48.51 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A57123Billing and Coding: Nerve Conduction Studies and Electromyography

Alphabetic index entries that lead here

Botulism›infant
Infection, infected, infective›Clostridium NEC›botulinum›infant

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under A48.5

A48.52Wound botulism