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v1.0.0
ICD-10 Guide
ICD-10 CodesA04.72

A04.72

Enterocolitis due to Clostridium difficile, not specified as recurrent

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

Code Description

ICD-10 A04.72 is a billable code used to indicate a diagnosis of enterocolitis due to clostridium difficile, not specified as recurrent.

Key Diagnostic Point:

Enterocolitis caused by Clostridium difficile infection, characterized by inflammation of the intestine and colon, typically associated with antibiotic use.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Severity of symptoms
  • Patient's medical history

Audit Risk Factors

    Specialty Focus

    Medical Specialties

    Infectious Disease

    Documentation Requirements

    Detailed patient history, antibiotic use, and symptom severity.

    Common Clinical Scenarios

    Patients presenting with diarrhea after antibiotic therapy.

    Billing Considerations

    Consider testing for recurrence if symptoms persist.

    Coding Guidelines

    Inclusion Criteria

    Use A04.72 When
    • Use this code when the enterocolitis is confirmed to be due to Clostridium difficile without specifying if it is recurrent

    Exclusion Criteria

    Do NOT use A04.72 When
    No specific exclusions found.

    Related CPT Codes

    87521CPT Code

    Nucleic acid amplification test for C. difficile

    Clinical Scenario

    Testing for C. difficile in patients with suspected enterocolitis.

    Documentation Requirements

    Document symptoms and prior antibiotic use.

    Specialty Considerations

    Infectious disease specialists may require additional lab results.

    ICD-10 Impact

    Diagnostic & Documentation Impact

    Enhanced Specificity

    ICD-10 Improvements

    Accurate coding impacts treatment protocols and reimbursement for care related to C. difficile infections.

    ICD-9 vs ICD-10

    Accurate coding impacts treatment protocols and reimbursement for care related to C. difficile infections.

    Reimbursement & Billing Impact

    reimbursement for care related to C. difficile infections.

    Resources

    Clinical References

    • •
      CDC Guidelines on Clostridium difficile Infection

    Coding & Billing References

    • •
      CDC Guidelines on Clostridium difficile Infection

    Frequently Asked Questions

    What are the common symptoms of C. difficile enterocolitis?

    Common symptoms include watery diarrhea, abdominal pain, fever, and nausea.

    How is C. difficile enterocolitis treated?

    Treatment typically involves discontinuing the offending antibiotic and starting specific antibiotics like vancomycin or fidaxomicin.