2027 ICD-10-CM Diagnosis Code A35Other tetanus

ICD-10-CM Codes›A00–B99›A30-A49›A35

ICD-10-CM A35
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

A35 is a billable ICD-10-CM diagnosis code for other tetanus. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793, 867 through 869. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 5 closely related codes. Coders also document this condition as autonomic disorder due to tetanus. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bacterial infections.

Code Identity

ICD-10-CM Code
A35
Billable Status
Yes — Valid for Submission
Code Describes
Other tetanus
Short Description
Other tetanus
Same as the full description in the CMS dataset.
Chapter
A30-A49
Other bacterial diseases

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA30-A49Other bacterial diseases
CategoryA35Other tetanus
This CodeA35Other tetanus

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Autonomic disorder due to tetanus
  • Cephalic tetanus
  • Disorder of autonomic nervous system due to infectious disease
  • Generalized tetanus
  • Infection caused by Clostridium tetani
  • Localized tetanus
  • Tetanic opisthotonus
  • Tetanus
  • Tetanus with trismus

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to A35: 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

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Tetanus NOS

Excludes1

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

  • obstetrical tetanus (A34)
  • tetanus neonatorum (A33)

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.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

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

Clinical InformationClinical

  • Tetanus

    a disease caused by tetanospasmin, a powerful protein toxin produced by clostridium tetani. tetanus usually occurs after an acute injury, such as a puncture wound or laceration. generalized tetanus, the most common form, is characterized by tetanic muscular contractions and hyperreflexia. localized tetanus presents itself as a mild condition with manifestations restricted to muscles near the wound. it may progress to the generalized form.

Patient EducationClinical

Tetanus

Tetanus is a serious illness caused by Clostridium bacteria. The bacteria live in soil, saliva, dust, and manure. The bacteria can enter the body through a deep cut, like those you might get from stepping on a nail, or through a burn.

Read the full article at MedlinePlus

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

Convert A35 to ICD-9-CMHistory

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

ICD-9-CM
037 Tetanus
Exact Match The mapping is direct, with no qualifiers.

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 A35Overview

What is the ICD-10 code for other tetanus?

The ICD-10-CM code for other tetanus is A35. It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is A35 (Other tetanus) a billable code?

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

What MS-DRG does A35 group to?

When other tetanus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 867, 869, 868, with relative weights from 0.6784 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is A35 a CC or MCC?

CMS lists A35 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 5 closely related codes in its exclusion list.

Can A35 be reported with A34?

Not as a rule. The Excludes1 note on A35 lists "obstetrical tetanus (A34)". 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).