A48.5 — Other specified botulism
Is A48.5 billable?
No — A48.5 is a non-billable header code. A48.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 2 billable codes beneath A48.5.
Billable codes under this header
A48.5 at a glance
| Code | A48.5 |
|---|---|
| Description | Other specified botulism |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with A48.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- food poisoning due to toxins of Clostridium botulinum (A05.1)
Inclusion terms
Alternative wording in documentation that is classified to A48.5.
- Non-foodborne intoxication due to toxins of Clostridium botulinum [C. botulinum]
Excludes1 — never code together — inherited from A48
The conditions below can never be reported together with A48.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- actinomycetoma (B47.1)
Use additional code — inherited from Chapter 1
Report an additional code alongside A48.5 to fully describe the condition. A48.5 is sequenced first.
- code to identify resistance to antimicrobial drugs (Z16.-)
Excludes2 — not included here — inherited from Chapter 1
The conditions below are not part of A48.5, but a patient may have both at the same time. When documentation supports it, A48.5 and the excluded code may both be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
What codes fall under A48.5? (2)
How long has A48.5 existed?
A48.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with A48.5?
ICD-10-CM declares these codes mutually exclusive with A48.5 — exactly one of each pair can be correct for a given encounter.