A26.7 — Erysipelothrix sepsis
A26.7 is a billable, specific ICD-10-CM code for erysipelothrix sepsis. It is valid for submission on a claim.
Risk adjustment
A26.7 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock0.500 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
A26.7 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56809Billing and Coding: Transesophageal Echocardiography (TEE)
- A57326Billing and Coding: Electrocardiograms
How A26.7 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to A26.7.
- Erysipeloid›sepsis
- Sepsis›Erysipelothrix(rhusiopathiae) (erysipeloid)
Related codes at this level
Codes that share A26. If A26.7 is not quite right, the correct code is usually one of these.
Questions about A26.7
- Is A26.7 a billable ICD-10-CM code?
- Yes. A26.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does A26.7 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Certain zoonotic bacterial diseases (A20-A28).