ICD-10 A39.53
Billable / Specific MCCMeningococcal pericarditis
About ICD-10-CM A39.53
ICD-10-CM code A39.53 represents Meningococcal pericarditis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A39). The 2026 edition of ICD-10-CM A39.53 became effective on October 1, 2025.
Coding Tips for A39.53
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
A39.53 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 pericarditis. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for A39.53
Local Coverage Determinations (LCDs) from CMS MACs that list A39.53 as a covered diagnosis.
Showing top 10 of 69 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing A39.53.
2 Cigna
3 Medicare
CPT Codes Commonly Billed with A39.53
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- Q9957 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- Q9955 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- C8923 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- C8928 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- C8924 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- C8921 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- 76376 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- C8930 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- C8929 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
- C8922 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
Convert A39.53 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| A39.53 | 03641 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To A39.53
Other codes in section A30-A49 (Other bacterial diseases).
ICD-10 A39.53, Billing FAQ
Is ICD-10 code A39.53 billable? +
Yes, A39.53 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is A39.53 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 A39.53? +
Procedures frequently paired with A39.53 include: Q9957, Q9955, C8923, C8928, C8924.
What ICD-9 codes does A39.53 map to? +
Per CMS GEMs, A39.53 maps to ICD-9 codes: 03641. 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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