1. ICD-10-CM Codes
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2. A00-B99 Certain infectious and parasitic diseases
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3. A30-A49 Other bacterial diseases
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4. A42- Actinomycosis
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5. 2021 ICD-10-CM Diagnosis Code A42.7

2021 ICD-10-CM Diagnosis Code A42.7

Actinomycotic sepsis

2016 2017 2018 2019 2020 2021 Billable/Specific Code

• A42.7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2021 edition of ICD-10-CM A42.7 became effective on October 1, 2020.
• This is the American ICD-10-CM version of A42.7 - other international versions of ICD-10 A42.7 may differ.

• Actinomycotic septicemia
• Sepsis due to actinomyces

• 791 Prematurity with major problems
• 793 Full term neonate with major problems
• 870 Septicemia or severe sepsis with mv >96 hours
• 871 Septicemia or severe sepsis without mv >96 hours with mcc
• 872 Septicemia or severe sepsis without mv >96 hours without mcc
• 974 Hiv with major related condition with mcc
• 975 Hiv with major related condition with cc
• 976 Hiv with major related condition without cc/mcc

Convert A42.7 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change

• Type 2 Excludes: A41
  ICD-10-CM Diagnosis Code A41

  Other sepsis

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • postprocedural sepsis (T81.4-)
  • sepsis during labor (O75.3)
  • sepsis following abortion, ectopic or molar pregnancy (O03-O07, O08.0)
  • sepsis following immunization (T88.0)
  • sepsis following infusion, transfusion or therapeutic injection (T80.2-)

  Type 1 Excludes

  • bacteremia NOS (R78.81)
  • neonatal (P36.-)
  • puerperal sepsis (O85)
  • streptococcal sepsis (A40.-)

  Type 2 Excludes

  • sepsis (due to) (in) actinomycotic (A42.7)
  • sepsis (due to) (in) anthrax (A22.7)
  • sepsis (due to) (in) candidal (B37.7)
  • sepsis (due to) (in) Erysipelothrix (A26.7)
  • sepsis (due to) (in) extraintestinal yersiniosis (A28.2)
  • sepsis (due to) (in) gonococcal (A54.86)
  • sepsis (due to) (in) herpesviral (B00.7)
  • sepsis (due to) (in) listerial (A32.7)
  • sepsis (due to) (in) melioidosis (A24.1)
  • sepsis (due to) (in) meningococcal (A39.2-A39.4)
  • sepsis (due to) (in) plague (A20.7)
  • sepsis (due to) (in) tularemia (A21.7)
  • toxic shock syndrome (A48.3)

• Actinomycosis, actinomycotic A42.9
  ICD-10-CM Diagnosis Code A42.9

  Actinomycosis, unspecified

  2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • sepsis A42.7
• Sepsis (generalized) (unspecified organism) A41.9
  ICD-10-CM Diagnosis Code A41.9

  Sepsis, unspecified organism

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Septicemia NOS
  • actinomycotic A42.7

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