Not Valid for Submission
A42 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of actinomycosis. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Actinomycosis
Non-specific codes like A42 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for actinomycosis:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code A42:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- actinomycetoma B47.1
- ACTINOMYCOSIS-. infections with bacteria of the genus actinomyces.
- ACTINOMYCOSIS CERVICOFACIAL-. a form of actinomycosis characterized by slow growing inflammatory lesions of the lymph nodes that drain the mouth lumpy jaw reddening of the overlying skin and intraperitoneal abscesses.
Information for Patients
Bacteria are living things that have only one cell. Under a microscope, they look like balls, rods, or spirals. They are so small that a line of 1,000 could fit across a pencil eraser. Most bacteria won't hurt you - less than 1 percent of the different types make people sick. Many are helpful. Some bacteria help to digest food, destroy disease-causing cells, and give the body needed vitamins. Bacteria are also used in making healthy foods like yogurt and cheese.
But infectious bacteria can make you ill. They reproduce quickly in your body. Many give off chemicals called toxins, which can damage tissue and make you sick. Examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.
Antibiotics are the usual treatment. When you take antibiotics, follow the directions carefully. Each time you take antibiotics, you increase the chances that bacteria in your body will learn to resist them causing antibiotic resistance. Later, you could get or spread an infection that those antibiotics cannot cure.
NIH: National Institute of Allergy and Infectious Diseases
- Actinomycosis (Medical Encyclopedia)
- Bacterial vaginosis -- aftercare (Medical Encyclopedia)
- Blood culture (Medical Encyclopedia)
- Gram stain (Medical Encyclopedia)
- Gram stain of skin lesion (Medical Encyclopedia)
- Necrotizing soft tissue infection (Medical Encyclopedia)
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