2026 ICD-10-CM Diagnosis Code A49.9Bacterial infection, unspecified
ICD-10-CM Codes›A00–B99›A30-A49›A49
- Billable — Valid for Submission
- Not Chronic
A49.9 is a billable ICD-10-CM diagnosis code for bacterial infection, unspecified. 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.
- 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
- Acute pyelonephritis caused by bacterium
- Acute tubulointerstitial nephritis
- Angular cheilitis
- Angular cheilitis due to bacterial infection
- Autoinflammatory syndrome with pyogenic bacterial infection and amylopectinosis
- Autoinflammatory syndrome with pyogenic bacterial infection and amylopectinosis due to HOIP deficiency
- 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 due to human immunodeficiency virus infection
- 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 media
- Bacterial respiratory infection
- Bacterial sinusitis
- Bacterial tenosynovitis
- Bacterial tonsillitis
- Bacterial upper respiratory infection
- Bacterial urogenital infection
- Beta lactam resistant bacterial infection
- Botryomycosis
- Cutaneous reaction caused by bacterial toxin
- Disease caused by Gram-negative bacteria
- Erythema nodosum due to bacterial infection
- Gram-negative bacterial cellulitis
- Gram-negative folliculitis
- Herpes zoster with secondary bacterial infection
- Infection associated with peritoneal dialysis catheter
- Infection caused by aminoglycoside resistant bacteria
- Infection caused by anaerobic bacteria
- Infection caused by antimicrobial resistant bacteria
- Infection caused by carbapenem resistant bacteria
- Infection caused by multi drug resistant bacteria
- Infection caused by quinolone and fluoroquinolone resistant bacteria
- Invasive bacterial infectious disease
- Moderate cavitated lesion limited to outer half of dentin
- Neonatal hyperbilirubinemia due to bacterial infection
- Neuropathy caused by bacterial toxin
- Non-pyogenic bacterial infection of skin
- Peripheral neuropathy caused by toxin
- Pleural effusion caused by bacteria
- Pyogenic bacterial infection due to MyD88 deficiency
- Recurrent bacterial infection
- Superficial bacterial infection of skin
- Toxic polyneuropathy
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
- bacteremia NOS R78.81
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute) - M19.90
- bacterial disease - See Also: subcategory M01; - A49.9
- Disease, diseased - See Also: Syndrome;
- bacterial - A49.9
- Infection, infected, infective (opportunistic) - B99.9
- Bacillus - A49.9
- bacterial NOS - A49.9
- gram-negative bacilli NOS - A49.9
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Arthritis, arthritic(acute) (chronic) (nonpyogenic) (subacute)
- in (due to)
- bacterial disease
- Disease, diseased
- bacterial
- Infection, infected, infective(opportunistic)
- Bacillus
- Infection, infected, infective(opportunistic)
- bacterial NOS
- Infection, infected, infective(opportunistic)
- gram-negative bacilli NOS
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Bacterial Esophagitis
an acute bacterial infection that affects the esophagus. symptoms include severe pain on swallowing and retrosternal pain. endoscopic examination reveals esophageal mucosal ulcerations and pseudomembranous formations.Acute Pyelonephritis
sudden onset pyelonephritis.Toxic Polyneuropathy
polyneuropathy that is caused by exposure to toxins.Bacterial Endophthalmitis
endophthalmitis caused by bacterial infection of the vitreous or aqueous humors.Chronic Toxic Polyneuropathy
neuropathy affecting multiple nerves that is caused by prolonged exposure to toxic substances.
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 A49.9 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About A49.9Overview
Is A49.9 (Bacterial infection of unspecified site) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report bacterial infection, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does A49.9 group to?
When bacterial infection, unspecified 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 A49.9?
Under the General Equivalence Mappings, bacterial infection, unspecified converts to ICD-9-CM 041.9 (bacterial infection NOS). 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.
