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A04.0

Billable

Enteropathogenic Escherichia coli infection

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This is a bacterial infection of the intestines caused by a specific type of E. coli bacteria that damages the intestinal lining. It typically causes diarrhea and abdominal discomfort, especially in infants and young children.

Coding Tips

  • Verify the specific type of E. coli infection documented in the medical record, as other E. coli infections have different codes (A04.1-A04.4)
  • Document the site of infection (intestines/bowel) and any associated symptoms like diarrhea to support medical necessity and severity

Code Hierarchy

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