ICD-10 Code A49.9

Bacterial infection, unspecified

Version 2019 Billable Code

Valid for Submission

A49.9 is a billable code used to specify a medical diagnosis of bacterial infection, unspecified. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: A49.9
Short Description:Bacterial infection, unspecified
Long Description:Bacterial infection, unspecified

Code Classification

  • Certain infectious and parasitic diseases (A00–B99)
    • Other bacterial diseases (A30-A49)
      • Bacterial infection of unspecified site (A49)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code A49.9 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 867 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
  • 868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
  • 869 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Convert A49.9 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 041.9 - Bacterial infection NOS (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abscess of aortic valve
  • Abscess of mitral valve
  • Abscess of pulmonary valve
  • Acne with gram negative folliculitis
  • Acute bacterial otitis externa
  • Acute bacterial tubulointerstitial nephritis
  • Acute infectious tubulointerstitial nephritis
  • Acute infective otitis externa
  • Acute pyelonephritis
  • Angular cheilitis
  • Angular cheilitis due to bacterial infection
  • Bacterial abscess of aortic valve
  • Bacterial abscess of mitral valve
  • Bacterial abscess of pulmonary valve
  • Bacterial cellulitis
  • Bacterial corneal ulcer
  • Bacterial encephalitis
  • Bacterial endophthalmitis
  • Bacterial esophagitis
  • Bacterial folliculitis
  • Bacterial genital infection
  • Bacterial infection associated with peritoneal dialysis catheter
  • Bacterial infection by site
  • Bacterial infection of central nervous system
  • Bacterial infection of skin
  • Bacterial infectious disease
  • Bacterial musculoskeletal infection
  • Bacterial nephritis
  • Bacterial oral infection
  • Bacterial osteomyelitis
  • Bacterial otitis externa
  • Bacterial otitis media
  • Bacterial respiratory infection
  • Bacterial sinusitis
  • Bacterial tonsillitis
  • Bacterial upper respiratory infection
  • Bacterial urogenital infection
  • Beta lactam resistant bacterial infection
  • Botryomycosis
  • Disease due to Gram-negative bacteria
  • Erythema nodosum due to bacterial infection
  • Gram-negative bacterial cellulitis
  • Gram-negative folliculitis
  • Herpes zoster with secondary bacterial infection
  • Infection caused by multi drug resistant bacteria
  • Infection due to anaerobic bacteria
  • Infection due to carbapenem resistant bacteria
  • Infection due to quinolone and fluoroquinolone resistant bacteria
  • Infection due to resistant bacteria
  • Infection due to sulfonamide resistant organism
  • Infective esophagitis
  • Moderate cavitated lesion limited to outer half of dentin
  • Neuropathy due to bacterial toxin
  • Non-pyogenic bacterial infection of skin
  • Peripheral neuropathy caused by toxin
  • Pleural effusion due to another disorder
  • Pleural effusion due to bacterial infection
  • Pyogenic bacterial infection due to deficiency of myeloid differentiation primary response 88
  • Recurrent bacterial infection
  • Superficial bacterial infection of skin

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code A49.9 are found in the index:


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 guidance for inclusions, exclusions, descriptions and more. The following references for the code A49.9 are found in the tabular index:

  • Type 1 Excludes Notes:
    • bacteremia NOS (R78.81)

Information for Patients


Bacterial Infections

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)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - 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.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. 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.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.