A39.84 ICD-10-CM Code: Postmeningococcal arthritis
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Risk adjustment
- CMS-HCC V28: 1 category · CMS-HCC V22 category 39
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 v43, Appendix B.
- MS-DRG 548 — SEPTIC ARTHRITIS WITH MCC (MDC 08)
- MS-DRG 549 — SEPTIC ARTHRITIS WITH CC (MDC 08)
- MS-DRG 550 — SEPTIC ARTHRITIS WITHOUT CC/MCC (MDC 08)
- MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
- MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)
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.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
Other models: CMS-HCC V22 HCC 39
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
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 (1)
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
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
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 A39.84 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 2 Excludes1 notes: M01 — Direct infections of joint in infectious and parasitic diseases classified elsewhere, M02 — Postinfective and reactive arthropathies.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 11 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 5 MS-DRGs: DRG 548 (MDC 08), DRG 549 (MDC 08), DRG 550 (MDC 08), DRG 791 (MDC 15), DRG 793 (MDC 15).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):MUS008 — Immune-mediated/reactive arthropathies (default); INF003 — Bacterial infections.
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 process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
A39.83 — Meningococcal arthritis, A39.89 — Other meningococcal infections, A39.9 — Meningococcal infection, unspecified, A49.3 — Mycoplasma infection, unspecified site, A49.8 — Other bacterial infections of unspecified site, A49.9 — Bacterial infection, unspecified, B92 — Sequelae of leprosy, B94.2 — Sequelae of viral hepatitis, B94.8 — Sequelae of other specified infectious and parasitic diseases, B94.9 — Sequelae of unspecified infectious and parasitic disease
Same CMS-HCC risk category (V28)
CMS maps these diagnoses to the same Hierarchical Condition Category (Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis) for risk-adjusted payment.
A01.04 — Typhoid arthritis, A01.05 — Typhoid osteomyelitis, A02.23 — Salmonella arthritis, A02.24 — Salmonella osteomyelitis, A39.83 — Meningococcal arthritis, A50.55 — Late congenital syphilitic arthropathy, A54.40 — Gonococcal infection of musculoskeletal system, unspecified, A54.41 — Gonococcal spondylopathy, A54.42 — Gonococcal arthritis, A54.43 — Gonococcal osteomyelitis, A54.49 — Gonococcal infection of other musculoskeletal tissue, A66.6 — Bone and joint lesions of yaws, A69.23 — Arthritis due to Lyme disease, B06.82 — Rubella arthritis, B26.85 — Mumps arthritis, B42.82 — Sporotrichosis arthritis, M00.00 — Staphylococcal arthritis, unspecified joint, M00.011 — Staphylococcal arthritis, right shoulder, M00.012 — Staphylococcal arthritis, left shoulder, M00.019 — Staphylococcal arthritis, unspecified shoulder, +588 more
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Immune-mediated/reactive arthropathies, Bacterial infections).
M02.10 — Postdysenteric arthropathy, unspecified site, M02.111 — Postdysenteric arthropathy, right shoulder, M02.112 — Postdysenteric arthropathy, left shoulder, M02.119 — Postdysenteric arthropathy, unspecified shoulder, M02.121 — Postdysenteric arthropathy, right elbow, M02.122 — Postdysenteric arthropathy, left elbow, M02.129 — Postdysenteric arthropathy, unspecified elbow, M02.131 — Postdysenteric arthropathy, right wrist, M02.132 — Postdysenteric arthropathy, left wrist, M02.139 — Postdysenteric arthropathy, unspecified wrist, M02.141 — Postdysenteric arthropathy, right hand, M02.142 — Postdysenteric arthropathy, left hand, M02.149 — Postdysenteric arthropathy, unspecified hand, M02.151 — Postdysenteric arthropathy, right hip, M02.152 — Postdysenteric arthropathy, left hip, M02.159 — Postdysenteric arthropathy, unspecified hip, M02.161 — Postdysenteric arthropathy, right knee, M02.162 — Postdysenteric arthropathy, left knee, M02.169 — Postdysenteric arthropathy, unspecified knee, M02.171 — Postdysenteric arthropathy, right ankle and foot, +476 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Arthritis, arthritic”; these codes share that main term but sit in a different category of the Tabular List.
A01.4 — Paratyphoid fever, unspecified (in, paratyphoid fever), A02.23 — Salmonella arthritis (in, Salmonella), A08.8 — Other specified intestinal infections (in, enteritis, infectious NEC, specified organism NEC), A09 — Infectious gastroenteritis and colitis, unspecified (in, enteritis, infectious NEC), A18.01 — Tuberculosis of spine (tuberculous, spine), A18.02 — Tuberculous arthritis of other joints (tuberculous), A24.0 — Glanders (due to or associated with, glanders), A25.1 — Streptobacillosis (epidemic erythema), A30.9 — Leprosy, unspecified (in, leprosy), A31.8 — Other mycobacterial infections (due to or associated with, mycobacteria), A46 — Erysipelas (due to or associated with, erysipelas), A49.9 — Bacterial infection, unspecified (in, bacterial disease), A50.55 — Late congenital syphilitic arthropathy (syphilitic, congenital), A52.16 — Charcôt's arthropathy (tabetic) (syphilitic), A54.42 — Gonococcal arthritis (gonococcal), A69.23 — Arthritis due to Lyme disease (in, Lyme disease), A92.1 — O'nyong-nyong fever (in, O'nyong-nyong), B06.82 — Rubella arthritis (rubella), B26.85 — Mumps arthritis (in, mumps), B34.9 — Viral infection, unspecified (in, viral disease NEC), +193 more
Contextual Map
Every relationship of A39.84 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 A39.84 with these 2 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-fy2026
- A30-A49 — Other bacterial diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- M01 — Direct infections of joint in infectious and parasitic diseases classified elsewhere[Excludes1]: “postmeningococcal arthritis (A39.84)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M02 — Postinfective and reactive arthropathies[Excludes1]: “postmeningococcal arthritis (A39.84)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- MUS008 — Immune-mediated/reactive arthropathies[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- INF003 — Bacterial infections[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Risk adjustment (CMS-HCC)
- HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis [CMS-HCC]— CMS-HCC V28 · 2026
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 548 — SEPTIC ARTHRITIS WITH MCC[MS-DRG]: “SEPTIC ARTHRITIS WITH MCC (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 549 — SEPTIC ARTHRITIS WITH CC[MS-DRG]: “SEPTIC ARTHRITIS WITH CC (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 550 — SEPTIC ARTHRITIS WITHOUT CC/MCC[MS-DRG]: “SEPTIC ARTHRITIS WITHOUT CC/MCC (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 791 — PREMATURITY WITH MAJOR PROBLEMS[MS-DRG]: “PREMATURITY WITH MAJOR PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS[MS-DRG]: “FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — 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. 18,508 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — 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 · FY2026
Index entries
- Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute), postmeningococcal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (17)
- A39 — Meningococcal infection[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A39.0 — Meningococcal meningitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A39.1 — Waterhouse-Friderichsen syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A39.2 — Acute meningococcemia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A39.3 — Chronic meningococcemia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A39.4 — Meningococcemia, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A39.5 — Meningococcal heart disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A39.50 — Meningococcal carditis, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 9 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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 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 — v43 Release, file and checksum · Publisher’s page
- Risk adjustment Official source data
- 2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release 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. "A39.84 — Postmeningococcal arthritis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/a39.84-postmeningococcal-arthritis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPostmeningococcal arthritis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 A39.84 in its code family, with their registry titles.
- A39.50 — Meningococcal carditis, unspecified
- A39.51 — Meningococcal endocarditis
- A39.52 — Meningococcal myocarditis
- A39.53 — Meningococcal pericarditis
- A39.8 — Other meningococcal infections
- A39.81 — Meningococcal encephalitis
- A39.82 — Meningococcal retrobulbar neuritis
- A39.83 — Meningococcal arthritis
- A39.89 — Other meningococcal infections
- A39.9 — Meningococcal infection, unspecified