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A49 vs A74.9

A49 (Bacterial infection of unspecified site) compared with A74.9 (Chlamydial infection, unspecified), 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. A49 carries an Excludes2 note covering A74.9: “chlamydial infection NOS (A74.9)”

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

Side by side

A49Bacterial infection of unspecified siteA74.9Chlamydial infection, unspecified
Billing statusNon-billable header

Report instead: A49.01, A49.02, A49.1, A49.2, A49.3

Billable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)
DefinitionBacterial infection of unspecified site is a non-billable ICD-10-CM category code (A49).Chlamydial infection, unspecified is a billable ICD-10-CM diagnosis code (A74.9).
Includes
Chlamydiosis NOS

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