2027 ICD-10-CM Diagnosis Code A28.2Extraintestinal yersiniosis

ICD-10-CM Codes›A00–B99›A20-A28›A28

ICD-10-CM A28.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

A28.2 is a billable ICD-10-CM diagnosis code for extraintestinal yersiniosis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 867 through 869. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 14 closely related codes. Coders also document this condition as erythema nodosum due to bacterial infection. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bacterial infections.

Code Identity

ICD-10-CM Code
A28.2
Billable Status
Yes — Valid for Submission
Code Describes
Extraintestinal yersiniosis
Short Description
Extraintestinal yersiniosis
Same as the full description in the CMS dataset.
Parent Code
Other zoonotic bacterial diseases, not elsewhere classified

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA20-A28Certain zoonotic bacterial diseases
CategoryA28Other zoonotic bacterial diseases, not elsewhere classified
This CodeA28.2Extraintestinal yersiniosis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Erythema nodosum due to bacterial infection
  • Erythema nodosum due to Yersinia enterocolitica
  • Erythema nodosum due to yersiniosis
  • Extraintestinal yersiniosis
  • Izumi fever
  • Masshoff's syndrome
  • Mesenteric lymphadenitis
  • Pseudotuberculosis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to A28.2: its own notes plus those printed at Chapter 1. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • diseases generally recognized as communicable or transmissible

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • enteritis due to Yersinia enterocolitica (A04.6)
  • plague (A20.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • code to identify resistance to antimicrobial drugs (Z16.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name A28.2, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming A28.2: they are not reported together with it, unless the two conditions are unrelated.

  • A04.6 Enteritis due to Yersinia enterocolitica
    extraintestinal yersiniosis (A28.2)

Excludes2 1

These codes carry an Excludes2 note naming A28.2: its condition is not part of those codes, and both may be reported when the patient has both.

  • A41 Other sepsis
    sepsis (due to) (in) extraintestinal yersiniosis (A28.2)

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR INF003
Bacterial infections
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Bacterial Infections

Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.

The full article covers:

  • What are bacteria?
  • How do bacterial infections spread?
  • What are the treatments for bacterial infections?
  • Can bacterial infections be prevented?

Read the full article at MedlinePlus

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

Convert A28.2 to ICD-9-CMHistory

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

ICD-9-CM
027.8 Zoonotic bact dis 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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About A28.2Overview

What is the ICD-10 code for extraintestinal yersiniosis?

The ICD-10-CM code for extraintestinal yersiniosis is A28.2 (sometimes written as A282). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is A28.2 (Other zoonotic bacterial diseases, not elsewhere classified) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report extraintestinal yersiniosis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does A28.2 group to?

When extraintestinal yersiniosis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 867, 869, 868, with relative weights from 0.6784 to 2.1855 depending on complications. Higher weights mean higher Medicare reimbursement.

Is A28.2 a CC or MCC?

CMS lists A28.2 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 14 closely related codes in its exclusion list.

Can A28.2 be reported with A04.6?

Not as a rule. The Excludes1 note on A28.2 lists "enteritis due to Yersinia enterocolitica (A04.6)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).