2021 ICD-10-CM Code A04.72
Enterocolitis due to Clostridium difficile, not specified as recurrent
Valid for Submission
A04.72 is a billable diagnosis code used to specify a medical diagnosis of enterocolitis due to clostridium difficile, not specified as recurrent. The code A04.72 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code A04.72 might also be used to specify conditions or terms like clostridial enteric disease, clostridial gastroenteritis, clostridioides difficile infection, clostridium difficile colitis, clostridium difficile diarrhea , clostridium difficile toxin a detected, etc.
ICD-10: | A04.72 |
Short Description: | Enterocolitis d/t Clostridium difficile, not spcf as recur |
Long Description: | Enterocolitis due to Clostridium difficile, not specified as recurrent |
Code Classification
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code A04.72 are found in the index:
- - Colitis (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic) - See Also: Enteritis; - K52.9
- - Clostridium difficile
- - not specified as recurrent - A04.72
- - pseudomembranous
- - not specified as recurrent - A04.72
- - toxic NEC - K52.1
- - due to Clostridium difficile
- - not specified as recurrent - A04.72
- - due to Clostridium difficile
- - Clostridium difficile
- - Diarrhea, diarrheal (disease) (infantile) (inflammatory) - R19.7
- - due to
- - Clostridium difficile
- - not specified as recurrent - A04.72
- - Clostridium difficile
- - due to
- - Enteritis (acute) (diarrheal) (hemorrhagic) (noninfective) - K52.9
- - Clostridium
- - difficile
- - not specified as recurrent - A04.72
- - difficile
- - infectious NOS - A09
- - due to
- - Clostridium difficile
- - not specified as recurrent - A04.72
- - Clostridium difficile
- - due to
- - toxic NEC - K52.1
- - due to Clostridium difficile
- - not specified as recurrent - A04.72
- - due to Clostridium difficile
- - Clostridium
- - Enterocolitis - See Also: Enteritis; - K52.9
- - due to Clostridium difficile
- - not specified as recurrent - A04.72
- - necrotizing - K55.30
- - due to Clostridium difficile
- - not specified as recurrent - A04.72
- - due to Clostridium difficile
- - pseudomembranous (newborn)
- - not specified as recurrent - A04.72
- - due to Clostridium difficile
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Clostridial enteric disease
- Clostridial gastroenteritis
- Clostridioides difficile infection
- Clostridium difficile colitis
- Clostridium difficile diarrhea
- Clostridium difficile toxin A detected
- Colitis caused by bacterium
- Gastritis caused by bacterium
- Toxic megacolon
- Toxic megacolon due to Clostridium difficile
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code A04.72 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.
- 371 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC - Relative Weight: 1.7283
- 372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC - Relative Weight: 1.0276
- 373 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC - Relative Weight: 0.7435
Replacement Code
A0472 replaces the following previously assigned ICD-10 code(s):
- A04.7 - Enterocolitis due to Clostridium difficile
Convert A04.72 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code A04.72 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 008.45 - Int inf clstrdium dfcile (Approximate Flag)
Information for Patients
Clostridium Difficile Infections
Also called: C. diff. infections, Clostridium enterocolitis, pseudomembranous colitis
Clostridium difficile (C. difficile) is a bacterium that causes diarrhea and more serious intestinal conditions such as colitis. Symptoms include
- Watery diarrhea (at least three bowel movements per day for two or more days)
- Fever
- Loss of appetite
- Nausea
- Abdominal pain or tenderness
C. difficile is more common in people who need to take antibiotics for a long period of time.The elderly also have a higher risk of getting it. The infection can spread in hospitals and nursing homes.
Tests of your stool can diagnose C. difficile. Sometimes you might also need imaging tests, to check for complications. Certain antibiotics can treat it. Rarely, there are severe cases that need surgery.
Centers for Disease Control and Prevention
- Fecal microbiota transplant (Medical Encyclopedia)
- Pseudomembranous colitis (Medical Encyclopedia)
- Stool C. difficile toxin (Medical Encyclopedia)
[Learn More]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018