A46BillableSave

A46 - Erysipelas

ICD-10-CM Chapter 1: Certain infectious and parasitic diseases · A30-A49 Other bacterial diseases (A30-A49) · Top-level category · FY2027

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom A46

Mutually exclusive: these conditions are never reported together with this code.

  • postpartum or puerperal erysipelas (O86.89)
IncludesFrom Chapter A00-B99

Conditions this code covers.

  • diseases generally recognized as communicable or transmissible
Excludes 2 — Not Included HereFrom Chapter A00-B99

Not part of this code; report both codes when the patient has both conditions.

  • 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 CodeFrom Chapter A00-B99

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify resistance to antimicrobial drugs (Z16.-)

Inpatient DRG Payments

DRG 60360,330 discharges

Cellulitis Without Mcc

Avg. Medicare Payment

$6,505

Total Payment$8,681
Patient Responsibility$2,177
Hospital Charge$37,289
DRG 60219,341 discharges

Cellulitis With Mcc

Avg. Medicare Payment

$11,331

Total Payment$13,660
Patient Responsibility$2,329
Hospital Charge$60,149