Infection due to other mycobacteria
In Other bacterial diseases (A30-A49), chapter 1: Certain Infectious and Parasitic Diseases
5 billable codes under A31: all are a CC; 2 map to HCC 6 (Opportunistic Infections).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
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.
- Human Immunodeficiency Virus (HIV) Infections (page 19)
- Infectious agents as the cause of diseases classified to other chapters (page 22)
- Infections resistant to antibiotics (page 22)
- Sepsis, Severe Sepsis, and Septic Shock (page 23)
- Methicillin Resistant Staphylococcus aureus (MRSA) Conditions (page 27)
- Zika virus infections (page 28)
- Coronavirus infections (page 28)
All codes under A31
A31 can't be used on a claim. Pick a billable code below; grey headings group them.
A31 MS-DRGs
As the principal diagnosis, the billable codes under A31 group to these 11 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 867 Other Infectious and Parasitic Diseases Diagnoses with MCC (3 of 5 codes)
- DRG 868 Other Infectious and Parasitic Diseases Diagnoses with CC (3 of 5 codes)
- DRG 869 Other Infectious and Parasitic Diseases Diagnoses without CC/MCC (3 of 5 codes)
- DRG 974 HIV with Major Related Condition with MCC (3 of 5 codes)
- DRG 975 HIV with Major Related Condition with CC (3 of 5 codes)
- DRG 976 HIV with Major Related Condition without CC/MCC (3 of 5 codes)
- DRG 177 Respiratory Infections and Inflammations with MCC (1 of 5 codes)
- DRG 178 Respiratory Infections and Inflammations with CC (1 of 5 codes)
- DRG 179 Respiratory Infections and Inflammations without CC/MCC (1 of 5 codes)
- DRG 606 Minor Skin Disorders with MCC (1 of 5 codes)
- DRG 607 Minor Skin Disorders without MCC (1 of 5 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Mycobacterial Infections
Mycobacteria are a type of germ. There are many different kinds. The most common one causes tuberculosis. Another one causes leprosy. Still others cause infections that are called atypical mycobacterial infections. They aren't "typical" because they don't cause tuberculosis. But they can still harm people, especially people with other problems that affect their immunity, such as AIDS.
Read more about mycobacterial infections on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
