2017/18 ICD-10-CM Diagnosis Code A40

Streptococcal sepsis

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • postprocedural streptococcal sepsis (
    ICD-10-CM Diagnosis Code T81.4

    Infection following a procedure

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Intra-abdominal abscess following a procedure
    • Postprocedural infection, not elsewhere classified
    • Sepsis following a procedure
    • Stitch abscess following a procedure
    • Subphrenic abscess following a procedure
    • Wound abscess following a procedure
    Type 1 Excludes
    • obstetric surgical wound infection (O86.0)
    • postprocedural fever NOS (R50.82)
    • postprocedural retroperitoneal abscess (K68.11)
    Type 2 Excludes
    Use Additional
    • code to identify infection
    T81.4-
    )
  • streptococcal sepsis during labor (
    ICD-10-CM Diagnosis Code O75.3

    Other infection during labor

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Sepsis during labor
    Use Additional
    • code (B95-B97), to identify infectious agent
    O75.3
    )
  • streptococcal sepsis following abortion or ectopic or molar pregnancy (
    ICD-10-CM Diagnosis Code O03

    Spontaneous abortion

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • miscarriage
    Note
    • Incomplete abortion includes retained products of conception following spontaneous abortion
    O03
    -
    ICD-10-CM Diagnosis Code O07

    Failed attempted termination of pregnancy

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • failure of attempted induction of termination of pregnancy
    • incomplete elective abortion
    Type 1 Excludes
    • incomplete spontaneous abortion (O03.0-)
    O07
    ,
    ICD-10-CM Diagnosis Code O08.0

    Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Endometritis following ectopic and molar pregnancy
    • Oophoritis following ectopic and molar pregnancy
    • Parametritis following ectopic and molar pregnancy
    • Pelvic peritonitis following ectopic and molar pregnancy
    • Salpingitis following ectopic and molar pregnancy
    • Salpingo-oophoritis following ectopic and molar pregnancy
    Type 1 Excludes
    • sepsis following ectopic and molar pregnancy (O08.82)
    • urinary tract infection (O08.83)
    O08.0
    )
  • streptococcal sepsis following immunization (
    ICD-10-CM Diagnosis Code T88.0

    Infection following immunization

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Sepsis following immunization
    T88.0
    )
  • streptococcal sepsis following infusion, transfusion or therapeutic injection (
    ICD-10-CM Diagnosis Code T80.2

    Infections following infusion, transfusion and therapeutic injection

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Use Additional
    • code to identify the specific infection, such as:
    • sepsis (A41.9)
    T80.2-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as A40. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • neonatal (
    ICD-10-CM Diagnosis Code P36.0

    Sepsis of newborn due to streptococcus, group B

      2016 2017 2018 Billable/Specific Code Code on Newborn Record
    P36.0-
    ICD-10-CM Diagnosis Code P36.1

    Sepsis of newborn due to other and unspecified streptococci

      2016 2017 2018 Non-Billable/Non-Specific Code
    P36.1
    )
  • puerperal sepsis (
    ICD-10-CM Diagnosis Code O85

    Puerperal sepsis

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Postpartum sepsis
    • Puerperal peritonitis
    • Puerperal pyemia
    Type 1 Excludes
    • fever of unknown origin following delivery (O86.4)
    • genital tract infection following delivery (O86.1-)
    • obstetric pyemic and septic embolism (O88.3-)
    • puerperal septic thrombophlebitis (O86.81)
    • urinary tract infection following delivery (O86.2-)
    Type 2 Excludes
    • sepsis during labor (O75.3)
    Use Additional
    • code (B95-B97), to identify infectious agent
    O85
    )
  • sepsis due to Streptococcus, group D (
    ICD-10-CM Diagnosis Code A41.81

    Sepsis due to Enterococcus

      2016 2017 2018 Billable/Specific Code
    A41.81
    )
The following code(s) above A40 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to A40:
  • A00-B99
    2018 ICD-10-CM Range A00-B99

    Certain infectious and parasitic diseases

    Includes
    • diseases generally recognized as communicable or transmissible
    Type 1 Excludes
    • certain localized infections - see body system-related chapters
    Type 2 Excludes
    • 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 to identify resistance to antimicrobial drugs (Z16.-)
    Certain infectious and parasitic diseases
Code History
Code annotations containing back-references to A40:

Diagnosis Index entries containing back-references to A40:

ICD-10-CM Codes Adjacent To A40
A39.51 Meningococcal endocarditis
A39.52 Meningococcal myocarditis
A39.53 Meningococcal pericarditis
A39.8 Other meningococcal infections
A39.81 Meningococcal encephalitis
A39.82 Meningococcal retrobulbar neuritis
A39.83 Meningococcal arthritis
A39.84 Postmeningococcal arthritis
A39.89 Other meningococcal infections
A39.9 Meningococcal infection, unspecified
A40 Streptococcal sepsis
A40.0 Sepsis due to streptococcus, group A
A40.1 Sepsis due to streptococcus, group B
A40.3 Sepsis due to Streptococcus pneumoniae
A40.8 Other streptococcal sepsis
A40.9 Streptococcal sepsis, unspecified
A41 Other sepsis
A41.0 Sepsis due to Staphylococcus aureus
A41.01 Sepsis due to Methicillin susceptible Staphylococcus aureus
A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus
A41.1 Sepsis due to other specified staphylococcus

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.