A75.9 ICD-10-CM Code: Typhus fever, unspecified
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 1 Excludes1
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 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)
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 A75.9 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on A75.9 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Typhus (fever) NOS
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).
- rickettsiosis due to Ehrlichia sennetsu (A79.81) Compare A75.9 vs A79.81 →
Source: inherited from A75
Coder workflow for A75.9
MedCoder structured workflow — derived from this code’s own official record
Before you code A75.9
- Unspecified does not mean incorrect. When the record gives no greater specificity, A75.9 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).
ReviewA75.0, A75.1, A75.2, A75.3
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with A75.9. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
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 — A75.9 is appropriate when the documentation goes no further. - Does the documentation support a condition named in A75.9’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.ReviewA79.81
Consider A75.9. 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.
Official instructions as workflow
Excludes1 — check before selecting A75.9(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with A75.9: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareA79.81
See the official tabular notes · Guidelines I.A.12.a
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).
Documentation: Both the condition A75.9 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).
ReviewA79.81
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 (10)
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.
- Canton fever
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor), Canton
- Infection, infected, infective (opportunistic), typhus
- Myocarditis (with arteriosclerosis)(chronic)(fibroid) (interstitial) (old) (progressive) (senile), in (due to), typhus NEC
- Petechial typhus
- Tabardillo
- Typhus (fever)
- Typhus (fever), brain
- Typhus (fever), cerebral
- Typhus (fever), petechial
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 A75.9 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 Code First instruction: I41 — Myocarditis 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.
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 211 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 867 (MDC 18), DRG 868 (MDC 18), DRG 869 (MDC 18).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INF009 — Parasitic, other specified and unspecified 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 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.
A68.9 — Relapsing fever, unspecified, A69.20 — Lyme disease, unspecified, A69.21 — Meningitis due to Lyme disease, A69.22 — Other neurologic disorders in Lyme disease, A69.23 — Arthritis due to Lyme disease, A69.29 — Other conditions associated with Lyme disease, A75.0 — Epidemic louse-borne typhus fever due to Rickettsia prowazekii, A75.1 — Recrudescent typhus [Brill's disease], A75.2 — Typhus fever due to Rickettsia typhi, A75.3 — Typhus fever due to Rickettsia tsutsugamushi, A77.0 — Spotted fever due to Rickettsia rickettsii, A77.1 — Spotted fever due to Rickettsia conorii, A77.2 — Spotted fever due to Rickettsia siberica, A77.3 — Spotted fever due to Rickettsia australis, A77.40 — Ehrlichiosis, unspecified, A77.41 — Ehrlichiosis chaffeensis [E. chaffeensis], A77.49 — Other ehrlichiosis, A77.8 — Other spotted fevers, A77.9 — Spotted fever, unspecified, A78 — Q fever, +190 more
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Parasitic, other specified and unspecified infections).
A69.21 — Meningitis due to Lyme disease, A69.22 — Other neurologic disorders in Lyme disease, A69.23 — Arthritis due to Lyme disease, A69.29 — Other conditions associated with Lyme disease, A69.8 — Other specified spirochetal infections, A69.9 — Spirochetal infection, unspecified, A75.0 — Epidemic louse-borne typhus fever due to Rickettsia prowazekii, A75.1 — Recrudescent typhus [Brill's disease], A75.2 — Typhus fever due to Rickettsia typhi, A75.3 — Typhus fever due to Rickettsia tsutsugamushi, A77.0 — Spotted fever due to Rickettsia rickettsii, A77.1 — Spotted fever due to Rickettsia conorii, A77.2 — Spotted fever due to Rickettsia siberica, A77.3 — Spotted fever due to Rickettsia australis, A77.40 — Ehrlichiosis, unspecified, A77.41 — Ehrlichiosis chaffeensis [E. chaffeensis], A77.49 — Other ehrlichiosis, A77.8 — Other spotted fevers, A77.9 — Spotted fever, unspecified, A79.0 — Trench fever, +235 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Fever”, “Typhus”, “Myocarditis”; these codes share that main term but sit in a different category of the Tabular List.
A44.0 — Systemic bartonellosis (Oroya), A48.2 — Nonpneumonic Legionnaires' disease [Pontiac fever] (Pontiac), A48.4 — Brazilian purpuric fever (Brazilian purpuric), A52.06 — Other syphilitic heart involvement (syphilitic), A54.83 — Gonococcal heart infection (gonococcal), A68.0 — Louse-borne relapsing fever (relapsing, louse-borne), A68.1 — Tick-borne relapsing fever (mianeh), A68.9 — Relapsing fever, unspecified (relapsing), A69.29 — Other conditions associated with Lyme disease (in, Lyme disease), A70 — Chlamydia psittaci infections (parrot), A77.0 — Spotted fever due to Rickettsia rickettsii (Bullis), A77.1 — Spotted fever due to Rickettsia conorii (Kenya), A77.2 — Spotted fever due to Rickettsia siberica (Siberian tick), A77.3 — Spotted fever due to Rickettsia australis (Queensland), A77.40 — Ehrlichiosis, unspecified (spotted, Ehrlichiosis), A77.41 — Ehrlichiosis chaffeensis [E. chaffeensis] (spotted, Ehrlichiosis, due to, E. chaffeensis), A77.49 — Other ehrlichiosis (spotted, Ehrlichiosis, due to, specified organism NEC), A77.8 — Other spotted fevers (African tick bite), A77.9 — Spotted fever, unspecified (spotted), A78 — Q fever (Q), +124 more
Contextual Map
Every relationship of A75.9 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 A75.9 with this related code 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
- A75-A79 — Rickettsioses[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Index manifestation
- G94 — Other disorders of brain in diseases classified elsewhere[Index manifestation]: “Typhus, brain”— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Referenced by Code First instructions
- I41 — Myocarditis in diseases classified elsewhere[Code First]: “typhus (A75.0-A75.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- INF009 — Parasitic, other specified and unspecified infections[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
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 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) · FY2026
- 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) · FY2026
- 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) · FY2026
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 · FY2026
Index entries (10)
- Canton fever[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor), Canton[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Infection, infected, infective (opportunistic), typhus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Myocarditis (with arteriosclerosis)(chronic)(fibroid) (interstitial) (old) (progressive) (senile), in (due to), typhus NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Petechial typhus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Tabardillo[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Typhus (fever)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Typhus (fever), brain[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- and 2 more
Nearest codes
- A75 — Typhus fever[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A75.0 — Epidemic louse-borne typhus fever due to Rickettsia prowazekii[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A75.1 — Recrudescent typhus [Brill's disease][Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A75.2 — Typhus fever due to Rickettsia typhi[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A75.3 — Typhus fever due to Rickettsia tsutsugamushi[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
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
- 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. "A75.9 — Typhus fever, unspecified." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/a75.9-typhus-fever-unspecified
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionTyphus fever, unspecified
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 A75.9 in its code family, with their registry titles.