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A46

Billable

Erysipelas

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

What This Code Means

Erysipelas is a superficial skin infection caused by bacteria (usually streptococcus) that causes redness, swelling, and warmth in affected areas, typically on the face or legs. It's a contagious condition that spreads through breaks in the skin and requires antibiotic treatment.

Coding Tips

  • Erysipelas is classified as an acute infectious disease; ensure documentation clearly distinguishes it from cellulitis (deeper skin infection) as they have different ICD-10 codes
  • If the patient has recurrent erysipelas or it affects multiple body sites, document the specific location and laterality (left/right) as this may affect code selection and severity assessment

Excludes 1 — Do NOT code together

  • postpartum or puerperal erysipelas (O86.89)

Code Hierarchy

A46Erysipelas
A46Erysipelas

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