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A77.49 ICD-10-CM Code: Other ehrlichiosis

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Rickettsioses (A75-A79)

A77.49

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

Other ehrlichiosis

Other ehrlichiosis refers to a tick-borne bacterial infection caused by Ehrlichia species that doesn't fit into the more common types like Ehrlichia chaffeensis or Ehrlichia ewingii. This rare infection can cause fever, headache, and muscle aches similar to other tick-borne illnesses.

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
A77Spotted fever [tick-borne rickettsioses]
A77.4Ehrlichiosis
A77.49Other ehrlichiosis

Inclusion Terms

Official
  • Ehrlichiosis due to E. ewingii
  • Ehrlichiosis due to E. muris euclairensis

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A77.49 in this effective period.

Related Child Codes

Official
A77.40Ehrlichiosis, unspecified
A77.41Ehrlichiosis chaffeensis [E. chaffeensis]

Includes

Official

ICD-10-CM does not list Includes notes for A77.49 in this effective period.

Excludes 1

Official
  • anaplasmosis [A. phagocytophilum] (A79.82)
  • rickettsiosis due to Ehrlichia sennetsu (A79.81)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A77.49 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A77.49 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A77.49 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify the specific Ehrlichia species identified in the documentation, as A77.40 (Ehrlichiosis chaffeensis), A77.41 (Ehrlichiosis ewingii), and A77.49 (other) are distinct codes with different epidemiologic patterns
Document the tick exposure history and geographic location when available, as this supports medical necessity and helps differentiate from other tick-borne illnesses like Lyme disease or Rocky Mountain spotted fever

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 A77.49 an HCC code?

No. A77.49 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

A77.49 is the ICD-10-CM diagnosis code for other ehrlichiosis. Other ehrlichiosis refers to a tick-borne bacterial infection caused by Ehrlichia species that doesn't fit into the more common types like Ehrlichia chaffeensis or Ehrlichia ewingii. This rare infection can cause fever, headache, and muscle aches similar to other tick-borne illnesses. A77.49 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering rickettsioses (a75-a79).

A77.49 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.

Verify the specific Ehrlichia species identified in the documentation, as A77.40 (Ehrlichiosis chaffeensis), A77.41 (Ehrlichiosis ewingii), and A77.49 (other) are distinct codes with different epidemiologic patterns.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A77.49 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify the specific Ehrlichia species identified in the documentation, as A77.40 (Ehrlichiosis chaffeensis), A77.41 (Ehrlichiosis ewingii), and A77.49 (other) are distinct codes with different epidemiologic patterns
  • Document the tick exposure history and geographic location when available, as this supports medical necessity and helps differentiate from other tick-borne illnesses like Lyme disease or Rocky Mountain spotted fever

Child Codes

Code Hierarchy

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