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A04 ICD-10-CM Code: Other bacterial intestinal infections

ICD-10-CM Code View

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Intestinal infectious diseases (A00-A09)

A04

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other bacterial intestinal infections

Other bacterial intestinal infections

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A0Intestinal infectious diseases (A00-A09)
A04Other bacterial intestinal infections

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A04 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A04 in this effective period.

Related Child Codes

Official
A04.0Enteropathogenic Escherichia coli infection
A04.1Enterotoxigenic Escherichia coli infection
A04.2Enteroinvasive Escherichia coli infection
A04.3Enterohemorrhagic Escherichia coli infection
A04.4Other intestinal Escherichia coli infections

Includes

Official

ICD-10-CM does not list Includes notes for A04 in this effective period.

Excludes 1

Official
  • bacterial foodborne intoxications, NEC (A05.-)
  • tuberculous enteritis (A18.32)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A04 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A04 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A04 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

A04 is the ICD-10-CM diagnosis code for other bacterial intestinal infections. A04 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering intestinal infectious diseases (a00-a09).

Header codes like A04 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at A04's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A04 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • bacterial foodborne intoxications, NEC (A05.-)
  • tuberculous enteritis (A18.32)

Child Codes

Code Hierarchy

A04Other bacterial intestinal infections
A04Other bacterial intestinal infections

Work A04 in HCC Buddy

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