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v1.0.0
ICD-10 Guide
ICD-10 CodesA04.71

A04.71

Enterocolitis due to Clostridium difficile, recurrent

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/04/2025

Code Description

ICD-10 A04.71 is a billable code used to indicate a diagnosis of enterocolitis due to clostridium difficile, recurrent.

Key Diagnostic Point:

A recurrent infection of the intestines caused by Clostridium difficile, characterized by diarrhea and abdominal pain, often following antibiotic use.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • History of antibiotic use
  • Previous episodes of C. difficile infection

Audit Risk Factors

    Specialty Focus

    Medical Specialties

    Infectious Disease

    Documentation Requirements

    Detailed history of previous infections and treatment responses.

    Common Clinical Scenarios

    Patients with recurrent diarrhea after antibiotic therapy.

    Billing Considerations

    Consideration of fecal microbiota transplantation for severe cases.

    Coding Guidelines

    Inclusion Criteria

    Use A04.71 When
    • Use this code for recurrent cases specifically; ensure documentation supports the recurrent nature of the infection

    Exclusion Criteria

    Do NOT use A04.71 When
    No specific exclusions found.

    Related CPT Codes

    87581CPT Code

    Molecular detection of C. difficile toxins

    Clinical Scenario

    Testing for C. difficile in patients with recurrent diarrhea.

    Documentation Requirements

    Document symptoms and prior treatment history.

    Specialty Considerations

    Infectious disease specialists may require additional testing.

    ICD-10 Impact

    Diagnostic & Documentation Impact

    Enhanced Specificity

    ICD-10 Improvements

    Accurate coding impacts treatment plans and reimbursement for recurrent infections.

    ICD-9 vs ICD-10

    Accurate coding impacts treatment plans and reimbursement for recurrent infections.

    Reimbursement & Billing Impact

    reimbursement for recurrent infections.

    Resources

    Clinical References

    • •
      CDC Guidelines on C. difficile Infection

    Coding & Billing References

    • •
      CDC Guidelines on C. difficile Infection

    Frequently Asked Questions

    What constitutes a recurrent C. difficile infection?

    A recurrent infection is defined as a new episode of diarrhea occurring after a previous episode has resolved, typically within 8 weeks.