A41.02 — Sepsis due to Methicillin resistant Staphylococcus aureus
A41.02 is a billable, specific ICD-10-CM code for sepsis due to methicillin resistant staphylococcus aureus. It is valid for submission on a claim.
Other codes that can never be billed with A41.02
These codes carry an Excludes1 note pointing at A41.02. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A41.02 alone.
- Z16Resistance to antimicrobial drugs
Risk adjustment
A41.02 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
A41.02 is named in 16 Medicare coverage policies — 16 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)
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625Billing and Coding: Echocardiography
How A41.02 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 A41.02.
- MRSA›sepsis
- Sepsis›MRSA(Methicillin resistant Staphylococcus aureus)
- Sepsis›Staphylococcus, staphylococcal›aureus›methicillin resistant(MRSA)
Related codes at this level
Codes that share A41.0. If A41.02 is not quite right, the correct code is usually one of these.
Questions about A41.02
- Is A41.02 a billable ICD-10-CM code?
- Yes. A41.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does A41.02 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Other bacterial diseases (A30-A49).