2027 ICD-10-CM Diagnosis Code A77.41Ehrlichiosis chaffeensis [E. chaffeensis]

ICD-10-CM Codes›A00–B99›A75-A79›A77

ICD-10-CM A77.41
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

A77.41 is a billable ICD-10-CM diagnosis code for ehrlichiosis chaffeensis [E. chaffeensis]. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 867 through 869. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 57 closely related codes. Coders also document this condition as human ehrlichiosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Parasitic, other specified and unspecified infections.

Code Identity

ICD-10-CM Code
A77.41
Billable Status
Yes — Valid for Submission
Code Describes
Ehrlichiosis chaffeensis [E. chaffeensis]
Short Description
Ehrlichiosis chaffeensis [E. chaffeensis]
Same as the full description in the CMS dataset.
Parent Code
A77.4
Ehrlichiosis

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA75-A79Rickettsioses
CategoryA77Spotted fever [tick-borne rickettsioses]
This CodeA77.41Ehrlichiosis chaffeensis [E. chaffeensis]

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Human ehrlichiosis
  • Human ehrlichiosis caused by Ehrlichia chaffeensis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to A77.41: its own notes plus those printed at A77.4 and Chapter 1. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • diseases generally recognized as communicable or transmissible

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From A77.4 Ehrlichiosis applies to 3 codes
  • anaplasmosis [A. phagocytophilum] (A79.82)
  • rickettsiosis due to Ehrlichia sennetsu (A79.81)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • code to identify resistance to antimicrobial drugs (Z16.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INF009
Parasitic, other specified and unspecified infections
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Ehrlichiosis

    a tick-borne disease characterized by fever; headache; myalgias; anorexia; and occasionally rash. it is caused by several bacterial species and can produce disease in dogs; cattle; sheep; goats; horses; and humans. the primary species causing human disease are ehrlichia chaffeensis; anaplasma phagocytophilum; and ehrlichia ewingii.

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 A77.41 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
082.41 Ehrlichiosis chafeensis
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2024No changes
FY 2025RevisedCode revised
FY 2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About A77.41Overview

What is the ICD-10 code for ehrlichiosis chaffeensis [E. chaffeensis]?

The ICD-10-CM code for ehrlichiosis chaffeensis [E. chaffeensis] is A77.41 (sometimes written as A7741). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is A77.41 (Ehrlichiosis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report ehrlichiosis chaffeensis [E. chaffeensis] on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does A77.41 group to?

When ehrlichiosis chaffeensis [E. chaffeensis] is the principal diagnosis on an inpatient stay, it groups to MS-DRG 867, 869, 868, with relative weights from 0.6784 to 2.1855 depending on complications. Higher weights mean higher Medicare reimbursement.

Is A77.41 a CC or MCC?

CMS lists A77.41 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 57 closely related codes in its exclusion list.

Can A77.41 be reported with A79.82?

Not as a rule. The Excludes1 note at A77.4, which applies to A77.41, lists "anaplasmosis [A. phagocytophilum] (A79.82)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).