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A40.3

Sepsis due to Streptococcus pneumoniae

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 8 never code together
A40code
Excludes1
  • neonatal (P36.0-P36.1)P36.0-P36.1
  • puerperal sepsis (O85)O85
  • sepsis due to Streptococcus, group D (A41.81)A41.81
A00-B99chapter
Excludes1
  • certain localized infections - see body system-related chapters
Excludes2
  • carrier or suspected carrier of infectious disease (Z22.-)Z22.-
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)O98.-
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)P35-P39
  • influenza and other acute respiratory infections (J00-J22)J00-J22

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 9
A40code
Code first
  • , if applicable, postprocedural sepsis (T81.44-)T81.44-
  • sepsis due to central venous catheter (T80.211-)T80.211-
  • streptococcal sepsis during labor (O75.3)O75.3
  • streptococcal sepsis following abortion or ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)O03.37O03.87O04.87O07.37O08.82
  • streptococcal sepsis following immunization (T88.0-)T88.0-
  • streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)T80.22-T80.29-
A40.3code
Inclusion terms
  • Pneumococcal sepsis
A00-B99chapter
Includes
  • diseases generally recognized as communicable or transmissible
Use additional code
  • code to identify resistance to antimicrobial drugs (Z16.-)Z16.-
Index entries leading here 6
  • Embolism (multiple) (paradoxical) I74.9
    • pyemic (multiple) I76
  • Infection, infected, infective (opportunistic) B99.9
    • pneumococcus, pneumococcal NEC A49.1
      • generalized (purulent) A40.3
  • Glomerulonephritis N05.9
    • in (due to)
  • Sepsis (generalized) (unspecified organism) A41.9
  • Pyemia, pyemic (fever) (infection) (purulent) — see also Sepsis
  • Pneumococcemia A40.3
Alongside this code 4 same parent — A40
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC2 CMS28HCC2 ESRD21HCC2 ESRD24HCC2

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This code

Billable
yes
Code set
FY2026
Parent
A40
Block
A30-A49
Siblings
4

Present FY2024–FY2027.