A09Billable, valid for claims from October 1, 2026

Infectious gastroenteritis and colitis, unspecified

In Intestinal infectious diseases (A00-A09), chapter 1: Certain Infectious and Parasitic Diseases

  • A09 is an unspecified code: use it only when the record doesn't document anything more specific. If the record has more detail, check the other codes under A00-A09 below.
  • As a secondary diagnosis it is a CC (complication or comorbidity), which can raise the MS-DRG payment. It doesn't count when the principal diagnosis is one of 81 closely related codes.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
  • 3,008 US deaths in 2024 had an underlying cause in category A09, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.

Also indexed as: Arthritis, in, enteritis, infectious NEC; Colitis, regional, infectious; Diarrhea, dysenteric; Diarrhea, endemic; Diarrhea, epidemic; Diarrhea, infectious; Disease, diarrheal, infectious NEC; Dysentery; Dysentery, arthritis; Enteritis, epidemic; Enteritis, infectious NOS; Enteritis, septic; Enterocolitis, infectious NEC; Gastroenteritis, epidemic; Gastroenteropathy, infectious; Ileitis, infectious; Ileocolitis, infectious; Sigmoiditis, infectious; Ulcer, dysenteric

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Instructional notes

Includes: conditions that are coded here

  • Infectious colitis NOS
  • Infectious enteritis NOS
  • Infectious gastroenteritis NOS

Excludes1: not coded here, use a different code

  • colitis NOS (K52.9)
  • diarrhea NOS (R19.7)
  • enteritis NOS (K52.9)
  • gastroenteritis NOS (K52.9)
  • noninfective gastroenteritis and colitis, unspecified (K52.9)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Rules for coding infections and parasitic diseases, including HIV, organism and drug resistance codes, sepsis and septic shock, MRSA, Zika, and COVID-19.

Read Section I.C.1 (page 19)

A09 MS-DRGs

As the principal diagnosis, A09 groups to MS-DRG 391 or 392 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

A09 is in Intestinal infection (DIG001, its default category), with 56 codes. Others in it:

  • A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae
  • A00.1 Cholera due to Vibrio cholerae 01, biovar eltor
  • A00.9 Cholera, unspecified
  • A01.00 Typhoid fever, unspecified
  • A01.09 Typhoid fever with other complications
  • A01.1 Paratyphoid fever A
  • A01.2 Paratyphoid fever B
  • A01.3 Paratyphoid fever C

A09 is in Parasitic, other specified and unspecified infections (INF009), with 254 codes. Others in it:

  • A06.0 Acute amebic dysentery
  • A06.1 Chronic intestinal amebiasis
  • A06.2 Amebic nondysenteric colitis
  • A06.3 Ameboma of intestine
  • A06.4 Amebic liver abscess
  • A06.5 Amebic lung abscess
  • A06.6 Amebic brain abscess
  • A06.7 Cutaneous amebiasis

Medicare coverage articles listing A09

These 6 Medicare billing and coding articles list A09 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.

Other codes that refer to A09

Notes on these codes point to A09.

  • K52.9 Excludes1: infectious gastroenteritis and colitis NOS (A09)
  • P35-P39 Excludes2: intestinal infectious disease (A00-A09)
  • P37 Excludes2: infectious neonatal diarrhea (A00-A09)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Gastroenteritis

Gastroenteritis is an inflammation of the lining of the stomach and intestines. The main symptoms include vomiting and diarrhea. It is usually not serious in healthy people, but it can sometimes lead to dehydration or cause severe symptoms.

Read more about gastroenteritis on MedlinePlus

Infectious Diseases

Germs, or microbes, are found everywhere - in the air, soil, and water. There are also germs on your skin and in your body. Many of them are harmless, and some can even be helpful. But some of them can make you sick. Infectious diseases are diseases that are caused by germs.

Read more about infectious diseases on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 009.0 Infectious colitis, enteritis, and gastroenteritis (approximate)
ICD-9 to ICD-10 converter