A40.3

Sepsis due to Streptococcus pneumoniae

Billable / specificHCC V28 2

A40.3 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Pneumococcal sepsis

Includes (from A40)

  • diseases generally recognized as communicable or transmissible

Excludes1

Not coded here — never report together with this code.

Excludes2

Not included here — may be reported together when both conditions exist.

  • carrier or suspected carrier of infectious disease (Z22.-) (from A40)
  • certain localized infections - see body system-related chapters (from A40)
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-) (from A40)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39) (from A40)
  • influenza and other acute respiratory infections (J00-J22) (from A40)

Code first

Sequence the underlying condition first.

  • , if applicable, postprocedural sepsis (T81.44-) (from A40)
  • sepsis due to central venous catheter (T80.211-) (from A40)
  • streptococcal sepsis during labor (O75.3) (from A40)
  • streptococcal sepsis following abortion or ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82) (from A40)
  • streptococcal sepsis following immunization (T88.0-) (from A40)
  • streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-) (from A40)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify resistance to antimicrobial drugs (Z16.-) (from A40)

Also known as

  • Pneumococcal sepsis
  • Embolism, pyemic, pneumococcal
  • Infection, infected, infective, pneumococcus, pneumococcal NEC, generalized
  • Pneumococcemia
  • Pyemia, pyemic, pneumococcal
  • Sepsis, pneumococcal
  • Sepsis, Streptococcus, streptococcal, pneumoniae

Parent code

  • A40Streptococcal sepsisHeader

Related codes

  • A40.0Sepsis due to streptococcus, group ABillable
  • A40.1Sepsis due to streptococcus, group BBillable
  • A40.8Other streptococcal sepsisBillable
  • A40.9Streptococcal sepsis, unspecifiedBillable

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