A36
Non-Billable

Diphtheria

Non-Billable / Non-Specific Code

What is Diphtheria?

ICD-10-CM A36 is the diagnosis code for Diphtheria. This code falls under the section "Other bacterial diseases" within Chapter 1 — Certain infectious and parasitic diseases (A00-B99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for A36

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where A36 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
A36.0Pharyngeal diphtheriaBillableA36.1Nasopharyngeal diphtheriaBillableA36.2Laryngeal diphtheriaBillableA36.3Cutaneous diphtheriaBillableA36.8Other diphtheriaNon-BillableA36.81Diphtheritic cardiomyopathyBillableA36.82Diphtheritic radiculomyelitisBillableA36.83Diphtheritic polyneuritisBillableA36.84Diphtheritic tubulo-interstitial nephropathyBillableA36.85Diphtheritic cystitisBillableA36.86Diphtheritic conjunctivitisBillableA36.89Other diphtheritic complicationsBillableA36.9Diphtheria, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is A36 a billable ICD-10-CM code?

No, A36 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does A36 mean?

A36 is the ICD-10-CM diagnosis code for "Diphtheria". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is A36 in?

A36 is located in Section A30-A49 — "Other bacterial diseases" within Chapter 1 of the ICD-10-CM Tabular List.

What are the sub-codes of A36?

A36 has 6 sub-code(s) that provide more specific detail: A36.0, A36.1, A36.2, A36.3, A36.8 and more.

When should I use A36?

Use A36 when the patients documented diagnosis matches "Diphtheria" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Diphtheria?

The ICD-10-CM code for Diphtheria is A36.

Can A36 be used for primary diagnosis?

No, A36 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is A36 in?

A36 is in Chapter 1 of the ICD-10-CM Tabular List.

Is A36 valid for 2026?

Yes, A36 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousA35Other tetanusNext →A36.0Pharyngeal diphtheria
Code Details
A36
Diphtheria
Non-Billable / Non-Specific Code
1 — Certain infectious and parasitic diseases (A00-B99)
A30-A49 — Other bacterial diseases
2026 ICD-10-CM