A69Not billable, use a more specific code below

Other spirochetal infections

In Other spirochetal diseases (A65-A69), chapter 1: Certain Infectious and Parasitic Diseases

9 billable codes under A69: 6 are a CC; 1 map to HCC 92 (Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis).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.

Advertisements

Instructional notes

Also applies, from Other spirochetal diseases (A65-A69)

These notes sit on A65-A69 and apply to every code under it, including A69.

Excludes2: not included here, code separately if applicable

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)

A69 MS-DRGs

As the principal diagnosis, the billable codes under A69 group to MS-DRG 867, 868, or 869 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

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

Bacterial Infections

Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.

Read more about bacterial infections on MedlinePlus

Code history

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