2026 ICD-10-CM Diagnosis Code A04.4Other intestinal Escherichia coli infections

ICD-10-CM Codes›A00–B99›A00-A09›A04

ICD-10-CM A04.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A04.4 is a billable ICD-10-CM diagnosis code for other intestinal Escherichia coli infections. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 371 through 373. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bacterial infections and Intestinal infection.

Code Identity

ICD-10-CM Code
A04.4
Billable Status
Yes — Valid for Submission
Code Describes
Other intestinal Escherichia coli infections
Short Description
Other intestinal Escherichia coli infections
Same as the full description in the CMS dataset.
Parent Code
A04
Other bacterial intestinal infections

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA00-A09Intestinal infectious diseases
CategoryA04Other bacterial intestinal infections
This CodeA04.4Other intestinal Escherichia coli infections

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Enteritis of small intestine caused by Escherichia coli
  • Enteroadherent Escherichia coli gastrointestinal tract infection
  • Escherichia coli colitis
  • Infection caused by Escherichia coli O157
  • Infection caused by Escherichia coli O158
  • Infection caused by Shiga toxin producing Escherichia coli
  • Inflammation of intestine caused by Escherichia coli
  • Intestinal infection caused by Escherichia coli
  • Intestinal infection caused by Escherichia coli O157:H7
  • Intestinal infection caused by Escherichia coli serotype O158
  • Verotoxigenic Escherichia coli gastrointestinal tract infection

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Escherichia coli enteritis NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Diarrhea, diarrheal(disease) (infantile) (inflammatory)
      • due to
        • Escherichia coli
    • Diarrhea, diarrheal(disease) (infantile) (inflammatory)
      • due to
        • Escherichia coli
          • enteroaggregative
    • Diarrhea, diarrheal(disease) (infantile) (inflammatory)
      • due to
        • Escherichia coli
          • specified NEC
    • Enteritis(acute) (diarrheal) (hemorrhagic) (noninfective)
      • infectious NOS
        • due to
          • Escherichia coli
    • Enteritis(acute) (diarrheal) (hemorrhagic) (noninfective)
      • infectious NOS
        • due to
          • Escherichia coli
            • enteroaggregative
    • Enteritis(acute) (diarrheal) (hemorrhagic) (noninfective)
      • infectious NOS
        • due to
          • Escherichia coli
            • specified NEC

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INF003
Bacterial infections
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG001
Intestinal infection
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

E. Coli Infections

E. coli is the name of a type of bacteria that lives in your intestines. Most types of E. coli are harmless. However, some types can make you sick and cause diarrhea. One type causes travelers' diarrhea. The worst type of E. coli causes bloody diarrhea, and can sometimes cause kidney failure and even death.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert A04.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
008.00 Intest infec e coli NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
008.09 Int inf e coli spcf NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About A04.4Overview

Is A04.4 (Other bacterial intestinal infections) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other intestinal Escherichia coli infections on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does A04.4 group to?

When other intestinal Escherichia coli infections is the principal diagnosis on an inpatient stay, it groups to MS-DRG 371, 372, 373, with relative weights from 0.7274 to 1.7731 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of A04.4?

Under the General Equivalence Mappings, other intestinal Escherichia coli infections converts to ICD-9-CM 008.00 (intest infec e coli NOS) and 008.09 (int inf e coli spcf NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.