ICD-10 A41
Non-Billable HeaderOther sepsis
About ICD-10-CM A41
ICD-10-CM code A41 represents Other sepsis. This is a non-billable header code in the Infectious and Parasitic Diseases chapter (block A41). The 2026 edition of ICD-10-CM A41 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with A41. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- bacteremia NOS (R78.81)
- neonatal (P36.-)
- puerperal sepsis (O85)
- streptococcal sepsis (A40.-)
Type 2 Excludes
Not included here, the excluded code is not part of A41, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- sepsis (due to) (in) actinomycotic (A42.7)
- sepsis (due to) (in) anthrax (A22.7)
- sepsis (due to) (in) candidal (B37.7)
- sepsis (due to) (in) Erysipelothrix (A26.7)
- sepsis (due to) (in) extraintestinal yersiniosis (A28.2)
- sepsis (due to) (in) gonococcal (A54.86)
- sepsis (due to) (in) herpesviral (B00.7)
- sepsis (due to) (in) listerial (A32.7)
- sepsis (due to) (in) melioidosis (A24.1)
- sepsis (due to) (in) meningococcal (A39.2-A39.4)
- sepsis (due to) (in) plague (A20.7)
- sepsis (due to) (in) tularemia (A21.7)
- toxic shock syndrome (A48.3)
Coding Notes
Code First
- , if applicable, postprocedural sepsis (T81.44-)
- sepsis due to central venous catheter (T80.211-)
- sepsis during labor (O75.3)
- sepsis following abortion, ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)
- sepsis following immunization (T88.0-)
- sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)
Medicare LCD Coverage for A41
Local Coverage Determinations (LCDs) from CMS MACs that list A41 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing A41.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but A41 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with A41
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To A41
Other codes in section A30-A49 (Other bacterial diseases).
ICD-10 A41, Billing FAQ
Is ICD-10 code A41 billable? +
No, A41 is a non-billable header code. Use a more specific child code from block A41 when submitting claims.
What codes are Type 1 Excludes for A41? +
Type 1 Excludes (never code together with A41): bacteremia NOS (R78.81); neonatal (P36.-); puerperal sepsis (O85)
What codes are Type 2 Excludes for A41? +
Type 2 Excludes (may be coded together when both conditions exist): sepsis (due to) (in) actinomycotic (A42.7); sepsis (due to) (in) anthrax (A22.7); sepsis (due to) (in) candidal (B37.7)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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