Coding and coverage · ICD-10-CM

A41 › A41.0

A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus

BillableCMS-HCC V28: HCC 2Chapter 1

Instructional notes

Chapter 1

Excludes2Not included here: the patient may have both; report both when both are present.
  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)
Use additional codeAdd a second code for the full picture.
  • code to identify resistance to antimicrobial drugs (Z16.-)
Includes
  • diseases generally recognized as communicable or transmissible

A41

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
Excludes2Not included here: the patient may have both; report both when both are present.
  • sepsis (due to) (in) actinomycotic (A42.7)
  • sepsis (due to) (in) anthrax (A22.7)
  • sepsis (due to) (in) candidal (B37.7)
  • sepsis (due to) (in) Erysipelothrix (A26.7)
  • sepsis (due to) (in) extraintestinal yersiniosis (A28.2)
  • sepsis (due to) (in) gonococcal (A54.86)
  • sepsis (due to) (in) herpesviral (B00.7)
  • sepsis (due to) (in) listerial (A32.7)
  • sepsis (due to) (in) melioidosis (A24.1)
  • sepsis (due to) (in) meningococcal (A39.2-A39.4)
  • sepsis (due to) (in) plague (A20.7)
  • sepsis (due to) (in) tularemia (A21.7)
  • toxic shock syndrome (A48.3)
Code firstSequence the underlying condition first.

Chapter 1: Certain infectious and parasitic diseases · A30-A49 Other bacterial diseases (A30-A49)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.