1. ICD-10-CM Codes
›
2. A00-B99
›
3. A30-A49
›
4. A40-
›
5. 2023 ICD-10-CM Diagnosis Code A40.3

2023 ICD-10-CM Diagnosis Code A40.3

Sepsis due to Streptococcus pneumoniae

2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

• A40.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2023 edition of ICD-10-CM A40.3 became effective on October 1, 2022.
• This is the American ICD-10-CM version of A40.3 - other international versions of ICD-10 A40.3 may differ.

• Sepsis with streptococcus pneumoniae septicemia
• Sepsis without acute organ dysfunction due to pneumococcal septicemia
• Septic shock acute organ dysfunction, streptococcal
• Septic shock with acute organ dysfunction due to pneumococcal septicemia
• Severe sepsis acute organ dysfunction, streptococcal
• Severe sepsis with acute organ dysfunction due to pneumococcal septicemia

• 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

Convert A40.3 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
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change

• Use Additional: D59.31
  ICD-10-CM Diagnosis Code D59.31

  Infection-associated hemolytic-uremic syndrome

  2023 - New Code Billable/Specific Code

  Applicable To

  • Shiga toxin-producing E. coli [STEC] related hemolytic uremic syndrome
  • Typical hemolytic uremic syndrome

  Use Additional

  • code to identify associated infection, such as :
  • E. coli infection (B96.2-)
  • Human immunodeficiency virus [HIV] disease (B20)
  • Pneumococcal meningitis (G00.1)
  • Pneumococcal pneumonia (J13)
  • Sepsis due to Streptococcus pneumoniae (A40.3)
  • Shigella dysenteriae (A03.9)
  • Streptococcus pneumoniae as the cause of diseases classified elsewhere (B95.3)

• Embolism (multiple) (paradoxical) I74.9
  ICD-10-CM Diagnosis Code I74.9

  Embolism and thrombosis of unspecified artery

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • pyemic (multiple) I76
    ICD-10-CM Diagnosis Code I76

    Septic arterial embolism

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Code First

    • underlying infection, such as:
    • infective endocarditis (I33.0)
    • lung abscess (J85.-)

    Type 2 Excludes

    • septic pulmonary embolism (I26.01, I26.90)

    Use Additional

    • code to identify the site of the embolism (I74.-)
    • pneumococcal A40.3
• Infection, infected, infective (opportunistic) B99.9
  ICD-10-CM Diagnosis Code B99.9

  Unspecified infectious disease

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • pneumococcus, pneumococcal NEC A49.1
    ICD-10-CM Diagnosis Code A49.1

    Streptococcal infection, unspecified site

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • generalized (purulent) A40.3
• Pneumococcemia A40.3
• Pyemia, pyemic (fever) (infection) (purulent) - see also Sepsis
  • pneumococcal A40.3
• Sepsis (generalized) (unspecified organism) A41.9
  ICD-10-CM Diagnosis Code A41.9

  Sepsis, unspecified organism

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Applicable To

  • Septicemia NOS
  • Streptococcus, streptococcal A40.9
    ICD-10-CM Diagnosis Code A40.9

    Streptococcal sepsis, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • pneumoniae A40.3
  • pneumococcal A40.3

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