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ICD-10 Guide
ICD-10 CodesA26.7

A26.7

Erysipelothrix sepsis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A26.7 is a billable code used to indicate a diagnosis of erysipelothrix sepsis.

Key Diagnostic Point:

Erysipelothrix sepsis is a severe systemic infection caused by the bacterium Erysipelothrix rhusiopathiae, which is primarily associated with zoonotic transmission from animals, particularly swine and fish. This organism is known to cause erysipeloid, a localized skin infection, but can also lead to more serious systemic infections, especially in immunocompromised individuals. The bacterium is typically transmitted through direct contact with infected animals or contaminated animal products, such as handling raw fish or pork. Symptoms of sepsis may include fever, chills, rapid heartbeat, and confusion, often requiring immediate medical intervention. Diagnosis is confirmed through blood cultures or tissue samples, and treatment typically involves antibiotics. Public health considerations are significant, as outbreaks can occur in occupational settings, such as in the fishing or meat processing industries, necessitating preventive measures and education on safe handling practices.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Zoonotic nature requiring understanding of transmission vectors
  • Potential for severe systemic infection complicating clinical presentation
  • Need for accurate documentation of exposure history
  • Differentiation from other septic conditions

Audit Risk Factors

  • Inadequate documentation of exposure to animals
  • Failure to document the severity of symptoms
  • Misclassification of the infection type
  • Lack of supporting lab results in the medical record

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including exposure to animals, clinical symptoms, and lab results.

Common Clinical Scenarios

Patients presenting with fever and chills after handling fish or pork.

Billing Considerations

Ensure thorough documentation of the patient's occupational history and any relevant travel history.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms, vital signs, and initial lab results.

Common Clinical Scenarios

Patients presenting with sepsis symptoms after potential exposure to Erysipelothrix.

Billing Considerations

Rapid identification and documentation of potential zoonotic exposure are critical.

Coding Guidelines

Inclusion Criteria

Use A26.7 When
  • Follow official ICD
  • 10 coding guidelines for infectious diseases, ensuring accurate documentation of the infection's source and severity
  • Include any relevant lab results and patient history to support the diagnosis

Exclusion Criteria

Do NOT use A26.7 When
No specific exclusions found.

Related CPT Codes

87040CPT Code

Culture, bacterial, any source

Clinical Scenario

Used to confirm diagnosis of Erysipelothrix sepsis.

Documentation Requirements

Document the source of the culture and clinical symptoms.

Specialty Considerations

Infectious disease specialists may require additional lab tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Erysipelothrix sepsis, improving the ability to track and manage zoonotic infections effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Erysipelothrix sepsis, improving the ability to track and manage zoonotic infections effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Erysipelothrix sepsis, improving the ability to track and manage zoonotic infections effectively.

Resources

Clinical References

  • •
    CDC - Erysipelothrix

Coding & Billing References

  • •
    CDC - Erysipelothrix

Frequently Asked Questions

What are the common sources of Erysipelothrix infection?

Common sources include direct contact with infected animals, particularly swine and fish, as well as handling contaminated animal products.