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A26.9 ICD-10-CM Code: Erysipeloid, unspecified

A26.9 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Certain zoonotic bacterial diseases (A20-A28)

A26.9

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

Erysipeloid, unspecified

Erysipeloid is a skin infection caused by bacteria, typically occurring on the hands or fingers, characterized by redness, swelling, and sometimes blistering. This code is used when the specific type or location of erysipeloid is not documented.

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
A26Erysipeloid
A26.9Erysipeloid, unspecified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A26.9 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A26.9 in this effective period.

Related Child Codes

Official
A26.0Cutaneous erysipeloid
A26.7Erysipelothrix sepsis
A26.8Other forms of erysipeloid

Includes

Official

ICD-10-CM does not list Includes notes for A26.9 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A26.9 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A26.9 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A26.9 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A26.9 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this unspecified code only when the documentation does not indicate the specific site (such as finger, hand, or other location) of the erysipeloid infection
Review the clinical documentation for any mention of the affected body part or type of erysipeloid to assign a more specific code if available (A26.0 for cutaneous erysipeloid or A26.8 for other forms)

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is A26.9 an HCC code?

No. A26.9 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A26.9
Description
Erysipeloid, unspecified
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

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

A26.9 is the ICD-10-CM diagnosis code for erysipeloid, unspecified. Erysipeloid is a skin infection caused by bacteria, typically occurring on the hands or fingers, characterized by redness, swelling, and sometimes blistering. This code is used when the specific type or location of erysipeloid is not documented. A26.9 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering certain zoonotic bacterial diseases (a20-a28).

A26.9 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 unspecified code only when the documentation does not indicate the specific site (such as finger, hand, or other location) of the erysipeloid infection.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A26.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this unspecified code only when the documentation does not indicate the specific site (such as finger, hand, or other location) of the erysipeloid infection
  • Review the clinical documentation for any mention of the affected body part or type of erysipeloid to assign a more specific code if available (A26.0 for cutaneous erysipeloid or A26.8 for other forms)

Child Codes

Code Hierarchy

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