ICD-10-CM 2027 diagnosis code
A27.89Other forms of leptospirosis
A27.89 is a valid, billable ICD-10-CM code for other forms of leptospirosis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Looking up by condition? See ICD-10 code for Nanukayami.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About A27.89
A27.89 is the ICD-10-CM diagnosis code for other forms of leptospirosis. It belongs to category A27 (leptospirosis), block A20-A28 (certain zoonotic bacterial diseases) and chapter 1 (certain infectious and parasitic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within A27.8, choose A27.89 (Other forms of leptospirosis) only when documentation doesn't support a more specific option: aseptic meningitis in leptospirosis (A27.81).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator, relative weight 5.7444), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC, relative weight 3.9708), DRG 097 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC, relative weight 3.8226), DRG 098 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC, relative weight 2.2706) and DRG 099 (Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC, relative weight 1.5256), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 100.89 (other specified leptospiral infections).
Notes that apply from higher levels
Instructions written at a parent level also apply to A27.89.
Broader instructions also apply from Chapter 1: Certain infectious and parasitic diseases.
Alphabetic index entries
12 entriesTerms in the official ICD-10-CM index that lead to A27.89.
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › Fort Bragg
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › pretibial
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › seven day (leptospirosis) (autumnal) (Japanese)
- Fort Bragg fever
- Infection, infected, infective (opportunistic) › Leptospira interrogans › autumnalis
- Infection, infected, infective (opportunistic) › Leptospira interrogans › canicola
- Infection, infected, infective (opportunistic) › Leptospira interrogans › hebdomadis
- Infection, infected, infective (opportunistic) › Leptospira interrogans › pomona
- Infection, infected, infective (opportunistic) › Leptospira interrogans › specified type NEC
- Leptospirosis › canicola
- Leptospirosis › pomona
- Nanukayami
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 01 · Diseases and Disorders of the Nervous System
MDC 01 · Diseases and Disorders of the Nervous System
ICD-9-CM equivalent
Converter →- 100.89Other specified leptospiral infectionsapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about A27.89
Is A27.89 billable?
- Yes. A27.89 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can A27.89 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict A27.89 as a principal diagnosis.
Is A27.89 a CC or MCC?
- A27.89 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does A27.89 group to?
- A27.89 is used in the MS-DRG v44.0 logic for MS-DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), MS-DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), MS-DRG 097 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC), MS-DRG 098 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC) and MS-DRG 099 (Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for A27.89?
- The CMS General Equivalence Mappings map A27.89 to ICD-9-CM 100.89.