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Compare/A40 vs A41

A40 vs A41

A40 (Streptococcal sepsis) compared with A41 (Other sepsis), 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. A41 carries an Excludes1 note covering A40: “streptococcal sepsis (A40.-)”

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

A40Streptococcal sepsisA41Other sepsis
Billing statusNon-billable header

Report instead: A40.0, A40.1, A40.3, A40.8, A40.9

Non-billable header

Report instead: A41.01, A41.02, A41.1, A41.2, A41.3

ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)
DefinitionStreptococcal sepsis is a non-billable ICD-10-CM category code (A40).Other sepsis is a non-billable ICD-10-CM category code (A41).
Code first
, if applicable, postprocedural sepsis (T81.44-)
sepsis due to central venous catheter (T80.211-)
, if applicable, postprocedural sepsis (T81.44-)
sepsis due to central venous catheter (T80.211-)

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