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A40 ICD-10-CM Code: Streptococcal sepsis

Compare with another code for A40Check this code on a claim

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Official instructions
3 Excludes1 · 6 code-first instructions

What these terms mean →

Category · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Code firstSequence the underlying condition before this code
  • Code first, if applicable, postprocedural sepsis (T81.44-)
  • sepsis due to central venous catheter (T80.211-)
  • streptococcal sepsis during labor (O75.3)
  • streptococcal sepsis following abortion or ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)

+2 more in Instructions

Excludes1Not reported with this code unless documented as unrelated
  • neonatal (P36.0-P36.1)
  • puerperal sepsis (O85)
  • sepsis due to Streptococcus, group D (A41.81)

Where it sits Source: CMS/NCHS

Under:Chapter 1: Certain Infectious and Parasitic DiseasesA30-A49 Other bacterial diseases

Codes under A40 (5)

  • A40.0Sepsis due to streptococcus, group ABillable
  • A40.1Sepsis due to streptococcus, group BBillable
  • A40.3Sepsis due to Streptococcus pneumoniaeBillable
  • A40.8Other streptococcal sepsisBillable
  • A40.9Streptococcal sepsis, unspecifiedBillable

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for A40 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

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Code First

Underlying conditions that must be sequenced before this code.

  • Code first, if applicable, postprocedural sepsis (T81.44-)
  • sepsis due to central venous catheter (T80.211-)
  • streptococcal sepsis during labor (O75.3)
  • streptococcal sepsis following abortion or ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)
  • streptococcal sepsis following immunization (T88.0-)
  • streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)

Coder workflow for A40

MedCoder structured workflow — derived from this code’s own official record

Before you code A40

  1. A40 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewA40.0, A40.1, A40.3, A40.8, A40.9

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with the code beneath A40. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support one of the more specific codes beneath A40?
    Yes → Select that code and continue the checks below on its own page.
    No → A40 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.

    ReviewA40.0, A40.1, A40.3, A40.8, A40.9

  2. Does the documentation support a condition named in A40’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewO85, A41.81

  3. Is the underlying (etiologic) condition the Code First note names documented?
    Yes → Sequence the underlying condition first, then the code beneath A40.
    No → Continue; do not add an underlying condition the record does not document.

    ReviewT81.44, T80.211, O75.3, O03.37, O03.87, O04.87

Report the code beneath A40 that the documentation supports, not A40 itself. Then confirm that code is valid for the date of service on its own page.

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).
The underlying (etiologic) condition
Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).

Official instructions as workflow

  • Excludes1 — check before selecting A40(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with A40: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareO85, A41.81

    See the official tabular notes · Guidelines I.A.12.a

  • Code First — sequencing check(6 notes)

    Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before A40. Do not add an underlying condition the record does not document.

    ReviewT81.44, T80.211, O75.3, O03.37, O03.87, O04.87

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition A40 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewO85, A41.81

Documentation: The underlying condition the Code First note names is documented alongside this condition.

Coding question: How are the two sequenced?

Path: Review the Code First note.

Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).

ReviewT81.44, T80.211, O75.3, O03.37, O03.87, O04.87

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.

Don’t confuse A40 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of A40 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • P36.0— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of neonatal moves the case to P36.0; the two are not reported together unless documented as unrelated.

    Full comparison: A40 vs P36.0 →

  • P36.1— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of neonatal moves the case to P36.1; the two are not reported together unless documented as unrelated.

    Full comparison: A40 vs P36.1 →

  • O85— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of puerperal sepsis moves the case to O85; the two are not reported together unless documented as unrelated.

    Full comparison: A40 vs O85 →

  • A41.81— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of sepsis due to Streptococcus, group D moves the case to A41.81; the two are not reported together unless documented as unrelated.

    Full comparison: A40 vs A41.81 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Streptococcal sepsis is a non-billable ICD-10-CM category code (A40). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)

k. Puerperal sepsis Code O85, Puerperal sepsis, should be assigned with a secondary code to identify the causal organism (e.g., for a bacterial infection, assign a code from category B95-B96, Bacterial infections in conditions classified elsewhere). A code from category A40, Streptococcal sepsis, or A41, Other sepsis, should not be used for puerperal sepsis. If applicable, use additional codes to identify severe sepsis (R65.2-) and any associated acute organ dysfunction.

Verify Before Coding

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-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name A40 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: A41 — Other sepsis.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Code First instructions: N08 — Glomerular disorders in diseases classified elsewhere, N16 — Renal tubulo-interstitial disorders in diseases classified elsewhere.

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.

Referenced by 6 Use Additional Code instructions across 2 chapters: J95.02 — Infection of tracheostomy stoma, K94.02 — Colostomy infection, K94.12 — Enterostomy infection, K94.22 — Gastrostomy infection, K95.01 — Infection due to gastric band procedure, K95.81 — Infection due to other bariatric procedure.

These codes instruct coders to additionally report this code when it applies.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Glomerulonephritis”; these codes share that main term but sit in a different category of the Tabular List.

A01.09 — Typhoid fever with other complications (in, typhoid fever), A41.9 — Sepsis, unspecified organism (in, sepsis), A50.59 — Other late congenital syphilis, symptomatic (in, syphiliscongenital), B52.0 — Plasmodium malariae malaria with nephropathy (in, Plasmodium malariae), B65.9 — Schistosomiasis, unspecified (in, bilharziasis), B78.9 — Strongyloidiasis, unspecified (in, strongyloidiasis), C88.0 — Waldenström macroglobulinemia (in, Waldenström macroglobulinemia), C90.0 — Multiple myeloma (in, multiple myeloma), D65 — Disseminated intravascular coagulation [defibrination syndrome] (in, defibrination syndrome), D69.0 — Allergic purpura (in, Henochpurpura), D89.1 — Cryoglobulinemia (in, cryoglobulinemia), E75.21 — Fabry (-Anderson) disease (in, Fabrydisease), E78.6 — Lipoprotein deficiency (in, lecithin cholesterol acyltransferase deficiency), E85.4 — Organ-limited amyloidosis (in, amyloidosis), I33.0 — Acute and subacute infective endocarditis (in, subacute bacterial endocarditis), M31.0 — Hypersensitivity angiitis (in, Goodpasture's syndrome), M31.19 — Other thrombotic microangiopathy (in, thrombotic thrombocytopenic purpura), M31.31 — Wegener's granulomatosis with renal involvement (in, Wegener's granulomatosis), M31.7 — Microscopic polyangiitis (in, microscopic polyangiitis), M32.14 — Glomerular disease in systemic lupus erythematosus (proliferative NEC, diffuse), +15 more

Contextual Map

Every relationship of A40 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 A40 with these 23 related codes in Claim Check

Hierarchy

Excludes1

Code First (11)

Referenced by Excludes1 notes

  • A41 — Other sepsis[Excludes1]: “streptococcal sepsis (A40.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Code First instructions

Referenced by Use Additional Code instructions

Nearest codes

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Can A40 be billed directly?

No. A40 (Streptococcal sepsis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

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
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section 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
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-derived 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 editorial 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.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

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. "A40 — Streptococcal sepsis." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/a40-streptococcal-sepsis

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Streptococcal sepsis

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 A40 in its code family, with their registry titles.