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Home/Diagnosis/ICD-10 Coding for Bacterial Arthritis

ICD-10 Coding for Bacterial Arthritis

M00.8-
A54.42

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bacterial arthritis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Septic Arthritis
Infectious Arthritis
Pyogenic Arthritis
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Key Information: ICD-10 Coding for Bacterial Arthritis

Essential facts and insights about ICD-10 Coding for Bacterial Arthritis

Use ICD-10 code M00.8- for arthritis due to other bacteria, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Arthritis due to other bacteria

Non-Billable
M00.8-
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of purulent synovial fluid with high WBC count
coding:
  • • Documentation of specific bacterial agent

Applicable To

  • • Bacterial arthritis of specific joints

Important Notes

  • • Ensure documentation specifies the bacterial agent and affected joint.

Gonococcal arthritis

Billable Code
A54.42
Billable

Diagnostic Criteria

Applicable To

  • • Arthritis due to Neisseria gonorrhoeae

Important Notes

  • • Ensure documentation includes confirmation of Neisseria gonorrhoeae.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.6

Staphylococcus aureus as the cause of diseases classified elsewhere

Use to specify the bacterial agent causing the arthritis.

Frequently Asked Questions

How is bacterial arthritis coded in ICD-10?

Bacterial arthritis is primarily coded under M00.8- series, with additional codes for specific bacterial agents like B95.6 for Staphylococcus aureus.

What documentation is needed for coding bacterial arthritis?

Documentation should include the specific joint affected, laterality, and the bacterial agent identified through culture or PCR.

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