A38
Non-Billable

Scarlet fever

Non-Billable / Non-Specific Code

What is Scarlet fever?

ICD-10-CM A38 is the diagnosis code for Scarlet fever. 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.

â„šī¸ Excludes2

Coding Guidelines for A38

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in A38. If the patient has both, code each condition separately:

  • streptococcal sore throat (J02.0)

ICD-10-CM Code Hierarchy

Understanding where A38 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
A38.0Scarlet fever with otitis mediaBillableA38.1Scarlet fever with myocarditisBillableA38.8Scarlet fever with other complicationsBillableA38.9Scarlet fever, uncomplicatedBillable
Related Codes

Frequently Asked Questions

Is A38 a billable ICD-10-CM code?

No, A38 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does A38 mean?

A38 is the ICD-10-CM diagnosis code for "Scarlet fever". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is A38 in?

A38 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 A38?

A38 has 4 sub-code(s) that provide more specific detail: A38.0, A38.1, A38.8, A38.9.

When should I use A38?

Use A38 when the patients documented diagnosis matches "Scarlet fever" 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 Scarlet fever?

The ICD-10-CM code for Scarlet fever is A38.

Can A38 be used for primary diagnosis?

No, A38 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is A38 in?

A38 is in Chapter 1 of the ICD-10-CM Tabular List.

Is A38 valid for 2026?

Yes, A38 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousA37.91Whooping cough, unspecified species with pneumoniaNext →A38.0Scarlet fever with otitis media
Code Details
A38
Scarlet fever
Non-Billable / Non-Specific Code
1 — Certain infectious and parasitic diseases (A00-B99)
A30-A49 — Other bacterial diseases
2026 ICD-10-CM