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A49.02

Billable

Methicillin resistant Staphylococcus aureus infection, unspecified site

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is A49.02 an HCC code?

No. A49.02 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

What This Code Means

A49.02 is the ICD-10-CM diagnosis code for methicillin resistant staphylococcus aureus infection, unspecified site. This code describes a bacterial infection caused by Staphylococcus aureus (a common bacteria) that is resistant to methicillin antibiotics, but the specific location of the infection in the body is not documented. This type of infection is often called MRSA and can be serious because it's harder to treat with standard antibiotics. A49.02 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering other bacterial diseases (a30-a49).

A49.02 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 site code only when the documentation does not clearly identify where the MRSA infection is located; if a specific site is documented (such as skin, bone, or bloodstream), use the more specific MRSA code for that site instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A49.02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this unspecified site code only when the documentation does not clearly identify where the MRSA infection is located; if a specific site is documented (such as skin, bone, or bloodstream), use the more specific MRSA code for that site instead
  • Verify that the infection is confirmed as methicillin-resistant; if the resistance pattern is unknown or the organism is only documented as Staphylococcus aureus without resistance confirmation, use a different code

Code Hierarchy

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