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Compare/A41 vs A42.7

A41 vs A42.7

A41 (Other sepsis) compared with A42.7 (Actinomycotic sepsis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. A41 carries an Excludes2 note covering A42.7: “sepsis (due to) (in) actinomycotic (A42.7)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

A41Other sepsisA42.7Actinomycotic sepsis
Billing statusNon-billable header

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

Billable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)
DefinitionOther sepsis is a non-billable ICD-10-CM category code (A41).Actinomycotic sepsis is a billable ICD-10-CM diagnosis code (A42.7).
Code first
, 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