ICD-10-CM · Chapter 1 · A00–B99

Sepsis ICD-10-CM Codes

ICD-10-CM codes for sepsis, including sepsis by causative organism, severe sepsis, and septic shock.

35Total codes
29Billable
2026FY

Coding Guidance for Sepsis

For sepsis without a documented organism, assign A41.9 (sepsis, unspecified organism). When cultures identify the organism, use the specific code from A40 (streptococcal) or A41 (other organisms) instead.

Severe sepsis requires a minimum of two codes: the underlying systemic infection first, then R65.20 (severe sepsis without septic shock) or R65.21 (with septic shock), plus codes for any documented acute organ dysfunction.

The term urosepsis is not codable in ICD-10-CM; query the provider for clarification. Postprocedural sepsis and sepsis in pregnancy have their own chapter-specific codes and sequencing rules.

35 codes — FY2026 ICD-10-CMEffective April 1, 2026
A02.1Salmonella sepsisBillableA22.7Anthrax sepsisBillableA26.7Erysipelothrix sepsisBillableA32.7Listerial sepsisBillableA40Streptococcal sepsisNon-BillableA40.0Sepsis due to streptococcus, group ABillableA40.1Sepsis due to streptococcus, group BBillableA40.3Sepsis due to Streptococcus pneumoniaeBillableA40.8Other streptococcal sepsisBillableA40.9Streptococcal sepsis, unspecifiedBillableA41Other sepsisNon-BillableA41.0Sepsis due to Staphylococcus aureusNon-BillableA41.01Sepsis due to Methicillin susceptible Staphylococcus aureusBillableA41.02Sepsis due to Methicillin resistant Staphylococcus aureusBillableA41.1Sepsis due to other specified staphylococcusBillableA41.2Sepsis due to unspecified staphylococcusBillableA41.3Sepsis due to Hemophilus influenzaeBillableA41.4Sepsis due to anaerobesBillableA41.5Sepsis due to other Gram-negative organismsNon-BillableA41.50Gram-negative sepsis, unspecifiedBillableA41.51Sepsis due to Escherichia coli [E. coli]BillableA41.52Sepsis due to PseudomonasBillableA41.53Sepsis due to SerratiaBillableA41.54Sepsis due to Acinetobacter baumanniiBillableA41.59Other Gram-negative sepsisBillableA41.8Other specified sepsisNon-BillableA41.81Sepsis due to EnterococcusBillableA41.89Other specified sepsisBillableA41.9Sepsis, unspecified organismBillableA42.7Actinomycotic sepsisBillableA54.86Gonococcal sepsisBillableB37.7Candidal sepsisBillableR65.2Severe sepsisNon-BillableR65.20Severe sepsis without septic shockBillableR65.21Severe sepsis with septic shockBillable

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About these codes

These ICD-10-CM codes are sourced from the official FY2026 tabular list published by the Centers for Medicare & Medicaid Services (CMS), effective April 1, 2026. Click any code for full clinical details including instructional notes, excludes guidance, and DRG mappings.

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