2026 ICD-10-CM Diagnosis Code A48.4Brazilian purpuric fever
ICD-10-CM Codes›A00–B99›A30-A49›A48
- Billable — Valid for Submission
- Not Chronic
A48.4 is a billable ICD-10-CM diagnosis code for brazilian purpuric fever. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 867 through 869. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bacterial infections.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Brazilian purpuric fever
- Conjunctivitis caused by Koch-Weeks bacillus
- Fever due to infection
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Systemic Hemophilus aegyptius infection
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
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.
- Fever(inanition) (of unknown origin) (persistent) (with chills) (with rigor)
- Brazilian purpuric
- Infection, infected, infective(opportunistic)
- Hemophilus
- aegyptius, systemic
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 A48.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About A48.4Overview
Is A48.4 (Other bacterial diseases, not elsewhere classified) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report brazilian purpuric fever on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does A48.4 group to?
When brazilian purpuric fever is the principal diagnosis on an inpatient stay, it groups to MS-DRG 867, 868, 869, with relative weights from 0.7297 to 2.0932 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of A48.4?
Under the General Equivalence Mappings, brazilian purpuric fever converts to ICD-9-CM 040.89 (bacterial diseases 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.
