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Home/Diagnosis/ICD-10 Coding for Gram-positive Bacteremia

ICD-10 Coding for Gram-positive Bacteremia

A40.0
A41.0
R78.81

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

Also Known as:
Gram-positive Bloodstream Infection
Gram-positive Sepsis
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Key Information: ICD-10 Coding for Gram-positive Bacteremia

Essential facts and insights about ICD-10 Coding for Gram-positive Bacteremia

Use ICD-10 code A40.0 for sepsis due to streptococcus pyogenes, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sepsis due to Streptococcus pyogenes

Billable Code
A40.0
Billable

Diagnostic Criteria

  • • Presence of sepsis symptoms and positive blood cultures for Streptococcus pyogenes.

Applicable To

  • • Sepsis due to group A Streptococcus

Important Notes

  • • Ensure blood culture results are documented to support the use of this code.

Sepsis due to Staphylococcus aureus

Non-Billable
A41.0
Non-Billable

Diagnostic Criteria

  • • Use when sepsis is confirmed due to Staphylococcus aureus.

Applicable To

  • • Sepsis due to Methicillin-sensitive Staphylococcus aureus (MSSA)

Important Notes

  • • Ensure documentation specifies MSSA or MRSA to avoid coding errors.

Bacteremia

Billable Code
R78.81
Billable

Diagnostic Criteria

  • • Use when bacteremia is present without sepsis or a specified infection focus.

Applicable To

  • • Presence of bacteria in the blood without sepsis

Important Notes

  • • Do not use as a principal diagnosis if sepsis is present.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.5

Streptococcus, group A, as the cause of diseases classified elsewhere

Use as an additional code to identify the organism.

B95.61

Methicillin susceptible Staphylococcus aureus as the cause of diseases classified elsewhere

Use as an additional code to identify the organism.

Frequently Asked Questions

What is the ICD-10 code for gram positive bacteremia?

The ICD-10 code for gram positive bacteremia depends on the organism and clinical context. A41.0 is used for sepsis due to Staphylococcus aureus, while R78.81 is used for bacteremia without sepsis.

How is gram positive bacteremia documented?

Documentation should include organism identification from blood cultures and any clinical signs of sepsis. Specify the source of infection if known.

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