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

ICD-10 A48.0

Billable / Specific HCC v28: 106 MCC

Gas gangrene

A48
Block
2
Synonyms
123
LCDs
11
Payer Policies
16
Linked CPTs

About ICD-10-CM A48.0

ICD-10-CM code A48.0 represents Gas gangrene. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A48). The 2026 edition of ICD-10-CM A48.0 became effective on October 1, 2025.

Coding Tips for A48.0

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

HCC capture: document with MEAT each year

A48.0 is a CMS-HCC v28 risk-adjustment code (category 106). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inpatient DRG impact: MCC

A48.0 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.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under A48.0. Per CMS ICD-10-CM Tabular 2026.

  • Clostridial cellulitis
  • Clostridial myonecrosis

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 106
ESRD-HCC
Category 106
RxHCC (Part D)
Category 106

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, MCC

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

Medicare LCD Coverage for A48.0

Local Coverage Determinations (LCDs) from CMS MACs that list A48.0 as a covered diagnosis.

123 LCDs

Showing top 10 of 123 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93926 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93930 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93925 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93931 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60314, Effective: , 409 covered, 1 non-covered
CPT 93926 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60314, Effective: , 409 covered, 1 non-covered
CPT 93930 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60314, Effective: , 409 covered, 1 non-covered
CPT 93925 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60314, Effective: , 409 covered, 1 non-covered
CPT 93931 →
CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies
Article ID: 57593, Effective: 2025-10-01 00:00:00, 593 covered, 0 non-covered
CPT 93924 →
CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies
Article ID: 57593, Effective: 2025-10-01 00:00:00, 593 covered, 0 non-covered
CPT 93925 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A48.0.

11 policies

5 Medicare

Billing and Coding: Wound Care
Policy ID: ART-55909
Billing and Coding: Debridement Services
Policy ID: ART-56459
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56697
Billing and Coding: Plastic Surgery
Policy ID: ART-57221
Billing and Coding: Electrocardiograms
Policy ID: ART-57326

1 Aetna

Hyperbaric Oxygen Therapy (HBOT)
Policy ID: CPB-0172

CPT Codes Commonly Billed with A48.0

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

16 linkages
  • 93922 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
  • 93931 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
  • 93923 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
  • 93930 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
  • 93925 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
  • 93926 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
  • 93924 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
  • 11047 CMS LCD: Billing and Coding: Debridement Services CMS LCD
  • 11001 CMS LCD: Billing and Coding: Debridement Services CMS LCD
  • 11046 CMS LCD: Billing and Coding: Debridement Services CMS LCD

Convert A48.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
A48.0 0400 00000

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

ICD-10 A48.0, Billing FAQ

Is ICD-10 code A48.0 billable? +

Yes, A48.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to A48.0? +

ICD-10 A48.0 includes: Clostridial cellulitis; Clostridial myonecrosis.

Does A48.0 affect Medicare Advantage HCC risk adjustment? +

Yes. A48.0 maps to CMS-HCC v28 category 106. Capture this diagnosis annually for accurate Medicare Advantage risk score.

Is A48.0 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 A48.0? +

Procedures frequently paired with A48.0 include: 93922, 93931, 93923, 93930, 93925.

What ICD-9 codes does A48.0 map to? +

Per CMS GEMs, A48.0 maps to ICD-9 codes: 0400. 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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