A38

Non-Billable
ChapterA00–B99
Rankcategory
Official Description

Scarlet fever

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99).

CH1 Parent Instructions

Includes
  • diseases generally recognized as communicable or transmissible
Excludes1(Not coded here. Use a different code.)
  • certain localized infections - see body system-related chapters
Excludes2(Not included here. Code separately if applicable.)
  • carrier or suspected carrier of infectious disease (Z22.-)
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)
Use Additional Code
  • code to identify resistance to antimicrobial drugs (Z16.-)

Instructional Notes

Includes
  • scarlatina
Excludes2(Not included here. Code separately if applicable.)
  • streptococcal sore throat (J02.0)

Clinical Hierarchy

BillableHas subcodes
CH1Certain infectious and parasitic diseases (A00-B99)
A30-A49Other bacterial diseases (A30-A49)
A38Scarlet feverNot billable
A38.0Scarlet fever with otitis mediaBillable
A38.1Scarlet fever with myocarditisBillable
A38.8Scarlet fever with other complicationsBillable
A38.9Scarlet fever, uncomplicatedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to A38:

chapterCH1
Certain infectious and parasitic diseases (A00-B99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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