ICD-10 Code A04.72

Enterocolitis due to Clostridium difficile, not specified as recurrent

Version 2019 Billable Code
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

Valid for Submission

ICD-10 A04.72 is a billable code used to specify a medical diagnosis of enterocolitis due to clostridium difficile, not specified as recurrent. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Certain infectious and parasitic diseases (A00–B99)
    • Intestinal infectious diseases (A00-A09)
      • Other bacterial intestinal infections (A04)

Information for Medical Professionals

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). The diagnosis code A04.72 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 371 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
  • 372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
  • 373 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC

Convert A04.72 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 008.45 - Int inf clstrdium dfcile (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms:

  • Clostridial enteric disease
  • Clostridial gastroenteritis
  • Clostridium difficile colitis
  • Clostridium difficile diarrhea
  • Clostridium difficile infection
  • Clostridium difficile toxin A detected
  • Colitis caused by bacterium
  • Gastritis caused by bacterium
  • Intestinal infectious disease due to anaerobic bacteria
  • Toxic megacolon
  • Toxic megacolon due to Clostridium difficile

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:


Replacement Code

A0472 replaces the following previously assigned ICD-10 code(s):

  • A04.7 - Enterocolitis due to Clostridium difficile

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]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.