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Home/Diagnosis/ICD-10 Coding for Gram-negative bacterial infections

ICD-10 Coding for Gram-negative bacterial infections

A41.5
A41.50

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

Also Known as:
Gram-negative sepsis
Gram-negative bacteremia
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Key Information: ICD-10 Coding for Gram-negative bacterial infections

Essential facts and insights about ICD-10 Coding for Gram-negative bacterial infections

Use ICD-10 code A41.5 for sepsis due to other gram-negative organisms, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sepsis due to other Gram-negative organisms

Non-Billable
A41.5
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of positive blood cultures for Gram-negative bacteria
documentation:
  • • Explicit mention of Gram-negative organism in clinical notes

Applicable To

  • • Sepsis due to Gram-negative bacteria

Important Notes

  • • Ensure documentation specifies the Gram-negative organism when possible to avoid using unspecified codes.

Sepsis due to unspecified Gram-negative organism

Billable Code
A41.50
Billable

Diagnostic Criteria

clinical:
  • • Clinical diagnosis of sepsis with Gram-negative bacteria identified via gram stain but not speciated

Applicable To

  • • Sepsis due to unspecified Gram-negative bacteria

Important Notes

  • • Ensure documentation supports the use of unspecified codes only when organism identification is not possible.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.2

Escherichia coli [E. coli] as the cause of diseases classified elsewhere

Use to specify E. coli as the causative organism in sepsis.

R78.81

Bacteremia

Use to indicate the presence of bacteria in the bloodstream.

Frequently Asked Questions

What is the ICD-10 code for Gram-negative sepsis?

The ICD-10 code for sepsis due to Gram-negative organisms is A41.5. If the specific organism is not identified, use A41.50.

How do you code sepsis with E. coli?

For sepsis with E. coli, use A41.51 for the sepsis and B96.20 to specify E. coli as the causative organism.

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