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

ICD-10 A39.50

Billable / Specific MCC

Meningococcal carditis, unspecified

A39
Block
0
Synonyms
116
LCDs
5
Payer Policies
31
Linked CPTs

About ICD-10-CM A39.50

ICD-10-CM code A39.50 represents Meningococcal carditis, unspecified. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A39). The 2026 edition of ICD-10-CM A39.50 became effective on October 1, 2025.

Coding Tips for A39.50

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

Inpatient DRG impact: MCC

A39.50 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, MCC

codes Meningococcal carditis, unspecified. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.

Medicare LCD Coverage for A39.50

Local Coverage Determinations (LCDs) from CMS MACs that list A39.50 as a covered diagnosis.

116 LCDs

Showing top 10 of 116 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT G0278 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 93458 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 36245 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 93571 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 75710 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 75630 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 93460 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 36217 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 75716 →
CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography
Article ID: 52850, Effective: 2026-01-01 00:00:00, 700 covered, 0 non-covered
CPT 93463 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A39.50.

5 policies

2 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

3 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500
Billing and Coding: Electrocardiograms
Policy ID: ART-57326

CPT Codes Commonly Billed with A39.50

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

31 linkages
  • 93456 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 93463 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 93457 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • G0269 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 93593 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 93564 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 75705 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 75716 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 93505 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD
  • 93568 CMS LCD: Billing and Coding: Cardiac Catheterization and Coronary Angiography CMS LCD

Convert A39.50 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
A39.50 03640 00000

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

ICD-10 A39.50, Billing FAQ

Is ICD-10 code A39.50 billable? +

Yes, A39.50 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is A39.50 a CC or MCC for inpatient DRG? +

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

What CPT codes are commonly billed with A39.50? +

Procedures frequently paired with A39.50 include: 93456, 93463, 93457, G0269, 93593.

What ICD-9 codes does A39.50 map to? +

Per CMS GEMs, A39.50 maps to ICD-9 codes: 03640. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

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

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