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A08 vs J09.X3

A08 (Viral and other specified intestinal infections) compared with J09.X3 (Influenza due to identified novel influenza A virus with gastrointestinal manifestations), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. A08 carries an Excludes1 note covering J09.X3: “influenza with involvement of gastrointestinal tract (J09.X3, J10.2, J11.2)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. J09.X3 carries an Excludes1 note covering A08: “'intestinal flu' [viral gastroenteritis] (A08.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

A08Viral and other specified intestinal infectionsJ09.X3Influenza due to identified novel influenza A virus with gastrointestinal manifestations
Billing statusNon-billable header

Report instead: A08.0, A08.11, A08.19, A08.2, A08.31

Billable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionViral and other specified intestinal infections is a non-billable ICD-10-CM category code (A08).Influenza due to identified novel influenza A virus with gastrointestinal manifestations is a billable ICD-10-CM diagnosis code (J09.X3).
Includes
Influenza due to identified novel influenza A virus gastroenteritis
Use additional code
code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources