2025 ICD-10-CM Diagnosis Code A46
Erysipelas
- ICD-10-CM Code:
- A46
- ICD-10 Code for:
- Erysipelas
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
A46 is a billable diagnosis code used to specify a medical diagnosis of erysipelas. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Bilateral erysipelas of lower limbs
- Chronic recurrent streptococcal erysipelas
- Erysipelas
- Erysipelas of left lower limb
- Erysipelas of lower limb
- Erysipelas of right lower limb
- Facial erysipelas
- Infective otitis externa due to erysipelas
- Recurrent bacterial infection
- Recurrent bacterial infection
- Recurrent cellulitis
- Recurrent cellulitis
- Recurrent erysipelas
- Recurrent skin infection
- Recurrent skin infection
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Bacterial infections
CCSR Code: INF003
Inpatient Default: N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Skin and subcutaneous tissue infections
CCSR Code: SKN001
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Erysipelas
an acute infection of the skin caused by species of streptococcus. this disease most frequently affects infants, young children, and the elderly. characteristics include pink-to-red lesions that spread rapidly and are warm to the touch. the commonest site of involvement is the face.Streptococcus
a genus of gram-positive, coccoid bacteria whose organisms occur in pairs or chains. no endospores are produced. many species exist as commensals or parasites on man or animals with some being highly pathogenic. a few species are saprophytes and occur in the natural environment.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Type 1 Excludes
Type 1 ExcludesA 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.
- postpartum or puerperal erysipelas O86.89
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute) - M19.90
- - due to or associated with
- - erysipelas - See Also: category M01; - A46
- - due to or associated with
- - Erysipelas (gangrenous) (infantile) (newborn) (phlegmonous) (suppurative) - A46
- - external ear - A46
- - Otitis (acute) - H66.90
- - externa - H60.9
- - in (due to)
- - erysipelas - A46
- - in (due to)
- - externa - H60.9
Convert A46 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Erysipelas
ICD-9-CM: 035
This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.
Patient Education
Bacterial Infections
What are bacteria?
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.
There are many different types of bacteria. Most types don't make you sick. Some types are helpful. For example, "good" bacteria in your digestive system can help your body digest food and absorb vitamins and minerals. They can help protect you from getting sick. Bacteria are also used in making foods like yogurt and cheese.
But some types of bacteria can cause an infection and make you sick. They are called infectious bacteria. These bacteria can reproduce quickly in your body. Many of them give off toxins (poisons) that can damage your cells and make you sick. Other types can move into and damage your tissues. A few examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.
How do bacterial infections spread?
There are different ways that bacterial infections may spread:
- Through droplets and particles that are breathed out by someone who has the infection. You might breathe in the droplets or particles, or they could land on your mouth, nose, or eyes.
- By touching surfaces or objects that have the bacteria on them and then touching your mouth, nose, or eyes.
- Through cuts, scrapes, and skin-to-skin contact with someone who has the infection.
- From the pregnant parent to the baby during pregnancy.
- Through contaminated food or water.
- By being bitten by an infected insect or animal.
- Through sexual contact (usually vaginal, anal and oral sex) with someone who has the infection.
What are the treatments for bacterial infections?
Sometimes your immune system may be able to fight off a bacterial infection. But when you do need treatment, it will be with antibiotics.
When you take antibiotics, follow the directions carefully. Each time you take them, there is a risk that the bacteria will become resistant to the effects of the antibiotics. This is called antibiotic resistance. When this happens, the bacteria are not killed, and they continue to grow. They can cause resistant infections, which can be difficult, and sometimes impossible, to treat.Can bacterial infections be prevented?
You can help prevent some bacterial infections by:
- Getting vaccines that protect against bacterial infections.
- Having good hygiene habits. These include washing your hands often and covering your mouth and nose when coughing or sneezing.
- Paying attention to food safety.
- Cleaning and disinfecting surfaces that your frequently touch.
- Preventing insect bites by using a U.S. Environmental Protection Agency (EPA)-registered insect repellent. when you go outdoors. If you travel to an area that has a high risk of diseases from insect bites, also wear long pants, shirts, and socks.
- Practicing safe sex. This means using a latex condom every time you have anal, vaginal, or oral sex. If your or your partner is allergic to latex, you can use polyurethane condoms.
- Avoiding close contact with people who are sick.
[Learn More in MedlinePlus]
Skin Infections
What are skin infections?
Your skin is your body's largest organ. It has many different functions, including covering and protecting your body. It helps keep germs out. But sometimes the germs can cause a skin infection. It often happens when the germs enter your body through a break, cut, or wound on your skin. Other skin infections can happen in places where the skin rubs together, especially if the area is moist. Infections can also happen when you have a poor blood supply to an area of your body or if your immune system is weakened because of another disease or a medical treatment.
Some skin infections cover a small area on the top of your skin. Other infections can go deep into your skin or spread to a larger area.
What causes skin infections?
Skin infections are caused by different kinds of germs. For example,:
- Bacteria cause cellulitis, impetigo, and staphylococcal (staph) infections
- Viruses cause shingles, warts, and herpes simplex
- Fungi cause athlete's foot and yeast infections
- Parasites cause body lice, head lice, and scabies
Who is more likely to get a skin infection?
You are more likely to get a skin infection if you:
- Have poor circulation
- Have diabetes
- Are older
- Have an immune system disease, such as HIV
- Have a weakened immune system because of chemotherapy or other medicines that suppress your immune system
- Have to stay in one position for a long time, such as if you are sick and have to stay in bed for a long time or you are paralyzed
- Are malnourished
- Have excessive skinfolds, which can happen if you have obesity
What are the symptoms of skin infections?
The symptoms depend on the type of infection. Some symptoms that are common to many skin infections include rashes, swelling, redness, pain, pus, and itching.
How are skin infections diagnosed?
To diagnose a skin infection, your health care provider will do a physical exam and ask about your symptoms. You may have lab tests, such as a skin culture. This is a test to identify what type of infection you have, using a sample from your skin. Your provider may take the sample by swabbing or scraping your skin or removing a small piece of skin (biopsy). Sometimes providers use other tests, such as blood tests.
How are skin infections treated?
The treatment depends on the type of infection and how serious it is. Some infections will go away on their own. When you do need treatment, it may include a cream or lotion to put on the skin. Other possible treatments include medicines and a procedure to drain pus.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
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.