ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 A37.90

Billable / Specific CC

Whooping cough, unspecified species without pneumonia

A37
Block
0
Synonyms
570
LCDs
5
Payer Policies
29
Linked CPTs

About ICD-10-CM A37.90

ICD-10-CM code A37.90 represents Whooping cough, unspecified species without pneumonia. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A37). The 2026 edition of ICD-10-CM A37.90 became effective on October 1, 2025.

Coding Tips for A37.90

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

A37.90 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Whooping cough, unspecified species without pneumonia. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for A37.90

Local Coverage Determinations (LCDs) from CMS MACs that list A37.90 as a covered diagnosis.

570 LCDs

Showing top 10 of 570 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87555 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87653 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87486 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87626 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 0109U →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87516 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87517 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87528 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87476 →
CMS LCD: Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Article ID: 58761, Effective: 2026-03-12 00:00:00, 851 covered, 0 non-covered
CPT 87594 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A37.90.

5 policies

5 Medicare

Billing and Coding: Respiratory Therapy (Respiratory Care)
Policy ID: ART-56717
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58710
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58720
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58747
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58761

CPT Codes Commonly Billed with A37.90

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

29 linkages
  • 94726 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94004 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94621 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94011 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94003 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94668 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94070 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94664 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 94012 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD
  • 31502 CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care) CMS LCD

Convert A37.90 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
A37.90 0339 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 A37.90, Billing FAQ

Is ICD-10 code A37.90 billable? +

Yes, A37.90 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is A37.90 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with A37.90? +

Procedures frequently paired with A37.90 include: 94726, 94004, 94621, 94011, 94003.

What ICD-9 codes does A37.90 map to? +

Per CMS GEMs, A37.90 maps to ICD-9 codes: 0339. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included