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A06.89 ICD-10-CM Code: Other amebic infections

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

A06.89

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other amebic infections

This code represents amebic infections caused by parasitic organisms that are not classified elsewhere, such as amebic infections affecting the skin, lungs, or other organs outside the intestines and liver. These infections occur when a person ingests contaminated water or food containing ameba parasites.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
A06Amebiasis
A06.8Amebic infection of other sites
A06.89Other amebic infections

Inclusion Terms

Official
  • Amebic appendicitis
  • Amebic splenic abscess

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A06.89 in this effective period.

Related Child Codes

Official
A06.81Amebic cystitis
A06.82Other amebic genitourinary infections

Includes

Official

ICD-10-CM does not list Includes notes for A06.89 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A06.89 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A06.89 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A06.89 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A06.89 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the amebic infection site is not specified as intestinal (A06.0-A06.4) or hepatic (A06.5-A06.6), and documentation does not clearly indicate another specific amebic condition
Verify the documentation specifies the type and location of the amebic infection to ensure this 'other' category is appropriate rather than a more specific code

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.

Is A06.89 an HCC code?

No. A06.89 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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

What This Code Means

A06.89 is the ICD-10-CM diagnosis code for other amebic infections. This code represents amebic infections caused by parasitic organisms that are not classified elsewhere, such as amebic infections affecting the skin, lungs, or other organs outside the intestines and liver. These infections occur when a person ingests contaminated water or food containing ameba parasites. A06.89 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering intestinal infectious diseases (a00-a09).

A06.89 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code only when the amebic infection site is not specified as intestinal (A06.0-A06.4) or hepatic (A06.5-A06.6), and documentation does not clearly indicate another specific amebic condition.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A06.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the amebic infection site is not specified as intestinal (A06.0-A06.4) or hepatic (A06.5-A06.6), and documentation does not clearly indicate another specific amebic condition
  • Verify the documentation specifies the type and location of the amebic infection to ensure this 'other' category is appropriate rather than a more specific code

Child Codes

Code Hierarchy

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