ICD-10/A42

A42 ICD 2026 Code: Actinomycosis

A42 is the authoritative medical code for Actinomycosis. This classification is used in medical billing and clinical recording to specify the clinical criteria for actinomycosis (ICD-10-CM A42), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Actinomycosis is a non-billable ICD-10-CM category code A42. A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): actinomycetoma B47.1.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for A42 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • actinomycetoma B47.1

Frequently Asked Questions (FAQ) & Clinical Guidance

Can A42 be billed directly?

No. A42 (Actinomycosis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

What can't be coded together with A42?

Per official ICD-10-CM Excludes1 instructions, A42 must not be reported together with: actinomycetoma (B47.1).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to A42 in its code family, with their registry titles.

  • A42.0 — Pulmonary actinomycosis
  • A42.1 — Abdominal actinomycosis
  • A42.2 — Cervicofacial actinomycosis
  • A42.7 — Actinomycotic sepsis
  • A42.8 — Other forms of actinomycosis
  • A42.9 — Actinomycosis, unspecified