ICD-10-CM Diagnosis Code A04.4: Other intestinal E. coli infection

ICD-10-CM Diagnosis Code A04.4: Other intestinal E. coli infection

A04.4 is a billable and specific ICD-10-CM code. Accurate documentation of A04.4 facilitates proper diagnosis, effective management, and correct reimbursement.

This guide outlines its use, official coding guidelines, and historical background.

ICD-10-CM Code for Other Intestinal E. coli Infection

The ICD-10-CM Diagnosis Code for Other intestinal E. coli infections is A04.4.

Other intestinal E. coli infections are gastrointestinal diseases caused by less common pathogenic Escherichia coli strains

Depending on the strain and severity, these infections can lead to symptoms such as diarrhea, abdominal pain, and fever. 

Unlike more recognized types like ETEC or EHEC, these strains are often grouped due to their varied and less frequent clinical presentations.

Proper documentation using A04.4 ensures patients receive appropriate care and enables accurate healthcare reimbursement.

Synonyms

  • E coli enteritis
  • Intestinal infection due to e. Coli

History Background of ICD-10-CM Diagnosis Code A04.4

The ICD-9-CM system, first introduced in 1979, provided the initial framework for coding diseases and health-related conditions in the United States. 

The ICD-9-CM Diagnosis code for Other intestinal E. coli is 008.09. This coding remained consistent from 1979 to 2015.

While the ICD-9-CM system offered a basic approach to disease classification, modern healthcare needs more detail and specificity. 

To address this, the ICD-10-CM system was launched in 2015, introducing a more comprehensive and accurate coding structure. 

The transition from ICD-9-CM to ICD-10-CM significantly improved the ability to document and analyze conditions such as Other intestinal Escherichia coli infections.

The 2025 edition of ICD-10-CM A04.4 became effective on October 1, 2024

YEARCODEDESCRIPTION
2020A04.4Unchanged
2021A04.4Unchanged
2022A04.4Unchanged
2023A04.4Unchanged
2024A04.4Unchanged
2025A04.4Unchanged

Symptoms of other intestinal E. coli infections

Symptoms of other intestinal E. coli infections can vary but often include:

  1. Diarrhea
  2. Abdominal pain or cramps
  3. Fever
  4. Nausea
  5. vomiting

How Other Intestinal Escherichia coli is caused

Escherichia coli (E. coli) is a bacteria that can be transmitted to humans through:

  • contaminated food
  • contaminated water
  • By contact with animals or other people.

Other ICD-10-CM Diagnosis Codes in A04

ICD-10-CM code A04 | Other bacterial intestinal infections has following sub categories including A04.4 :

  • A04 Other bacterial intestinal infections
  • A04.0 Enteropathogenic Escherichia coli infection
  • A04.1 Enterotoxigenic Escherichia coli infection
  • A04.2 Enteroinvasive Escherichia coli infection
  • A04.3 Enterohemorrhagic Escherichia coli infection
  • A04.4 Other intestinal Escherichia coli infections
  • A04.5 Campylobacter enteritis
  • A04.6 Enteritis due to Yersinia enterocolitica
  • A04.7 Enterocolitis due to Clostridium difficile
  • A04.71 recurrent
  • A04.72 not specified as recurrent
  • A04.8 Other specified bacterial intestinal infections
  • A04.9 Bacterial intestinal infection, unspecified

Final Thoughts

Proper coding of A04.4 is essential for diagnosing and managing other intestinal Escherichia coli infections. A thorough understanding of its symptoms, causes, and coding guidelines helps ensure precise documentation and improves patient outcomes. Accurate use of this code supports effective healthcare planning and guarantees appropriate reimbursement for medical services.

About Author
content writer
Dr. Sehrish Bano, CPB & CPC

As a certified professional in both billing and coding, I specialize in streamlining healthcare revenue cycles and ensuring accurate claim submissions. With more than five years of experience serving the healthcare industry in the USA, I bring expertise in coding accuracy, compliance, and reimbursement optimization. My work focuses on reducing errors, improving efficiency, and supporting providers in delivering quality care without administrative hurdles. I am committed to helping healthcare organizations achieve financial stability and compliance through reliable billing and coding practices.

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