A02.20 ICD-10-CM Code: Localized salmonella infection, unspecified
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.
- MS-DRG 867 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC (MDC 18)
- MS-DRG 868 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC (MDC 18)
- MS-DRG 869 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC (MDC 18)
- MS-DRG 974 — HIV WITH MAJOR RELATED CONDITION WITH MCC (MDC 25)
- MS-DRG 975 — HIV WITH MAJOR RELATED CONDITION WITH CC (MDC 25)
- MS-DRG 976 — HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC (MDC 25)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for A02.20 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on A02.20 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- infection or foodborne intoxication due to any Salmonella species other than S. typhi and S. paratyphi
Source: inherited from A02
Coder workflow for A02.20
MedCoder structured workflow — derived from this code’s own official record
Before you code A02.20
- Unspecified does not mean incorrect. When the record gives no greater specificity, A02.20 may be the appropriate code. Check the record for detail that supports a more specific sibling. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).
ReviewA02.21, A02.22, A02.23, A02.24, A02.25, A02.29
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
Choose the right path
- Does the record document the detail a more specific sibling code needs?
Yes → Review the specific siblings in this subcategory.
No → Continue — A02.20 is appropriate when the documentation goes no further.
Consider A02.20. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.
Coding question: Is a more specific sibling code supportable?
Path: Review the specific siblings in this subcategory and what each requires the record to state.
Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (2)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name A02.20 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: A05 — Other bacterial foodborne intoxications, not elsewhere classified (via A02.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 6 Excludes2 notes: P35 — Congenital viral diseases (via A02.-), P35-P39 — Infections specific to the perinatal period (P35-P39) (via A02.-), P36 — Bacterial sepsis of newborn (via A02.-), P37 — Other congenital infectious and parasitic diseases (via A02.-), P38 — Omphalitis of newborn (via A02.-), P39 — Other infections specific to the perinatal period (via A02.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Code First instruction: M49 — Spondylopathies in diseases classified elsewhere (via A02.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 6 MS-DRGs: DRG 867 (MDC 18), DRG 868 (MDC 18), DRG 869 (MDC 18), DRG 974 (MDC 25), DRG 975 (MDC 25), DRG 976 (MDC 25).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INF003 — Bacterial infections (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Bacterial infections).
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Intoxication”; these codes share that main term but sit in a different category of the Tabular List.
A05.0 — Foodborne staphylococcal intoxication (foodborne, due to, Staphylococcus), A05.1 — Botulism food poisoning (foodborne, classical), A05.2 — Foodborne Clostridium perfringens [Clostridium welchii] intoxication (foodborne, due to, Clostridium, welchii), A05.3 — Foodborne Vibrio parahaemolyticus intoxication (foodborne, due to, Vibrio, parahaemolyticus), A05.4 — Foodborne Bacillus cereus intoxication (foodborne, due to, Bacillus cereus), A05.5 — Foodborne Vibrio vulnificus intoxication (foodborne, due to, Vibrio, vulnificus), A05.8 — Other specified bacterial foodborne intoxications (foodborne, due to, bacterium, specified NEC), A05.9 — Bacterial foodborne intoxication, unspecified (foodborne), E87.29 — Other acidosis (acid), E87.5 — Hyperkalemia (potassium), E87.79 — Other fluid overload (water), F15.10 — Other stimulant abuse, uncomplicated (amphetamine, stimulant NEC), F15.121 — Other stimulant abuse with intoxication delirium (amphetamine, stimulant NEC, with, intoxication, with, delirium), F15.122 — Other stimulant abuse with intoxication with perceptual disturbance (amphetamine, stimulant NEC, with, intoxication, with, perceptual disturbance), F15.129 — Other stimulant abuse with intoxication, unspecified (amphetamine, stimulant NEC, with, intoxication), F15.180 — Other stimulant abuse with stimulant-induced anxiety disorder (amphetamine, stimulant NEC, with, anxiety disorder), F15.929 — Other stimulant use, unspecified with intoxication, unspecified (caffeine), K52.1 — Toxic gastroenteritis and colitis (enteric), K76.82 — Hepatic encephalopathy (hepatocerebral), P93.0 — Grey baby syndrome (drug, newborn, gray baby syndrome), +2 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Iron Panel, Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)
Contextual Map
Every relationship of A02.20 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run A02.20 with these 8 related codes in Claim Check
Hierarchy
- A00-B99 — Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) (A00-B99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A00-A09 — Intestinal infectious diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes
- A05 — Other bacterial foodborne intoxications, not elsewhere classified[Excludes1](via A02.-): “salmonella foodborne intoxication and infection (A02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Excludes2 notes
- P35 — Congenital viral diseases[Excludes2](via A02.-): “intestinal infectious disease (A00-A09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- P35-P39 — Infections specific to the perinatal period (P35-P39)[Excludes2](via A02.-): “intestinal infectious disease (A00-A09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- P36 — Bacterial sepsis of newborn[Excludes2](via A02.-): “intestinal infectious disease (A00-A09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- P37 — Other congenital infectious and parasitic diseases[Excludes2](via A02.-): “infectious neonatal diarrhea (A00-A09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- P38 — Omphalitis of newborn[Excludes2](via A02.-): “intestinal infectious disease (A00-A09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- P39 — Other infections specific to the perinatal period[Excludes2](via A02.-): “intestinal infectious disease (A00-A09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Code First instructions
- M49 — Spondylopathies in diseases classified elsewhere[Code First](via A02.-): “enterobacterial infections (A01-A04)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- INF003 — Bacterial infections[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 867 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC[MS-DRG]: “OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 868 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC[MS-DRG]: “OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 869 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC[MS-DRG]: “OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 974 — HIV WITH MAJOR RELATED CONDITION WITH MCC[MS-DRG]: “HIV WITH MAJOR RELATED CONDITION WITH MCC (MDC 25)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 975 — HIV WITH MAJOR RELATED CONDITION WITH CC[MS-DRG]: “HIV WITH MAJOR RELATED CONDITION WITH CC (MDC 25)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 976 — HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC[MS-DRG]: “HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC (MDC 25)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 18 — Infectious and Parasitic Diseases, Systemic or Unspecified Sites[MDC crossing]: “Infectious and Parasitic Diseases, Systemic or Unspecified Sites — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 25 — Human Immunodeficiency Virus Infections[MDC crossing]: “Human Immunodeficiency Virus Infections — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Infection, infected, infective (opportunistic), Salmonella (aertrycke) (arizonae) (cholerae-suis) (enteritidis) (gallinarum) (suipestifer) (typhimurium), localized[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Intoxication, foodborne, due to, Salmonella, with, localized infection (s)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (12)
- A02 — Other salmonella infections[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A02.0 — Salmonella enteritis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A02.1 — Salmonella sepsis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A02.2 — Localized salmonella infections[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A02.21 — Salmonella meningitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A02.22 — Salmonella pneumonia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A02.23 — Salmonella arthritis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- A02.24 — Salmonella osteomyelitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 4 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "A02.20 — Localized salmonella infection, unspecified." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/a02.20-localized-salmonella-infection-unspecified
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionLocalized salmonella infection, unspecified
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to A02.20 in its code family, with their registry titles.
- A02 — Other salmonella infections
- A02.0 — Salmonella enteritis
- A02.1 — Salmonella sepsis
- A02.2 — Localized salmonella infections
- A02.21 — Salmonella meningitis
- A02.22 — Salmonella pneumonia
- A02.23 — Salmonella arthritis
- A02.24 — Salmonella osteomyelitis
- A02.25 — Salmonella pyelonephritis
- A02.29 — Salmonella with other localized infection