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

ICD-10 A46

Billable / Specific

Erysipelas

A46
Block
0
Synonyms
43
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM A46

ICD-10-CM code A46 represents Erysipelas. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A46). The 2026 edition of ICD-10-CM A46 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with A46. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • postpartum or puerperal erysipelas (O86.89)

Medicare LCD Coverage for A46

Local Coverage Determinations (LCDs) from CMS MACs that list A46 as a covered diagnosis.

43 LCDs

Showing top 10 of 43 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15877 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19380 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15838 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15879 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 30400 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19396 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 30435 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 19355 →
CMS LCD: Billing and Coding: Plastic Surgery
Article ID: 57221, Effective: 2025-10-16 00:00:00, 572 covered, 0 non-covered
CPT 15836 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A46.

1 policies

1 Medicare

Billing and Coding: Plastic Surgery
Policy ID: ART-57221

CPT Codes Commonly Billed with A46

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

No procedure linkages on file for A46

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.

Convert A46 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
A46 035 00000

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

ICD-10 A46, Billing FAQ

Is ICD-10 code A46 billable? +

Yes, A46 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for A46? +

Type 1 Excludes (never code together with A46): postpartum or puerperal erysipelas (O86.89)

What ICD-9 codes does A46 map to? +

Per CMS GEMs, A46 maps to ICD-9 codes: 035. 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 June 1, 2026.

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