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A49.8 ICD-10-CM Code: Other bacterial infections of unspecified site

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HCC Buddy Code Card

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Other bacterial diseases (A30-A49)

A49.8

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

Other bacterial infections of unspecified site

This code is used when a patient has a bacterial infection at an unspecified location in the body that doesn't fit into other more specific bacterial infection categories. It's a catch-all code for bacterial infections where the exact site or type cannot be determined or 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
A49Bacterial infection of unspecified site
A49.8Other bacterial infections of unspecified site

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A49.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A49.8 in this effective period.

Related Child Codes

Official
A49.0Staphylococcal infection, unspecified site
A49.1Streptococcal infection, unspecified site
A49.2Hemophilus influenzae infection, unspecified site
A49.3Mycoplasma infection, unspecified site
A49.9Bacterial infection, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for A49.8 in this effective period.

Excludes 1

Official
  • bacterial agents as the cause of diseases classified elsewhere (B95-B96)
  • chlamydial infection NOS (A74.9)
  • meningococcal infection NOS (A39.9)
  • rickettsial infection NOS (A79.9)
  • spirochetal infection NOS (A69.9)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A49.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A49.8 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A49.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Only use this code when the specific site of infection cannot be identified or documented; always attempt to obtain more specific information about the infection location from the provider
This is a non-specific code that may trigger audits or denials; ensure documentation supports why a more specific bacterial infection code cannot be assigned

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 A49.8 an HCC code?

No. A49.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A49.8
Description
Other bacterial infections of unspecified site
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

A49.8 is the ICD-10-CM diagnosis code for other bacterial infections of unspecified site. This code is used when a patient has a bacterial infection at an unspecified location in the body that doesn't fit into other more specific bacterial infection categories. It's a catch-all code for bacterial infections where the exact site or type cannot be determined or documented. A49.8 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering other bacterial diseases (a30-a49).

A49.8 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.

Only use this code when the specific site of infection cannot be identified or documented; always attempt to obtain more specific information about the infection location from the provider.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A49.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Only use this code when the specific site of infection cannot be identified or documented; always attempt to obtain more specific information about the infection location from the provider
  • This is a non-specific code that may trigger audits or denials; ensure documentation supports why a more specific bacterial infection code cannot be assigned

Child Codes

Code Hierarchy

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