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Home/Diagnosis/ICD-10 Coding for Gram-Positive Cocci Infections

ICD-10 Coding for Gram-Positive Cocci Infections

A40.0
A41.01
A41.58

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

Also Known as:
GPC Infections
Gram-Positive Bacterial Infections
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Key Information: ICD-10 Coding for Gram-Positive Cocci Infections

Essential facts and insights about ICD-10 Coding for Gram-Positive Cocci Infections

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

Primary ICD-10-CM Codes

Sepsis due to Streptococcus, group A

Billable Code
A40.0
Billable

Diagnostic Criteria

clinical:
  • • Presence of positive blood culture for Streptococcus group A
documentation:
  • • Documented confirmation of Streptococcus group A

Applicable To

  • • Sepsis due to Streptococcus pyogenes

Important Notes

  • • Ensure the organism is specified in the documentation.

Sepsis due to Methicillin-susceptible Staphylococcus aureus

Billable Code
A41.01
Billable

Diagnostic Criteria

clinical:
  • • Positive blood culture for MSSA
  • • Clinical signs of sepsis

Applicable To

  • • Sepsis due to MSSA

Important Notes

  • • Ensure MSSA is specified in the documentation.

Sepsis due to other Gram-positive organisms

Non-Billable
A41.58
Non-Billable

Diagnostic Criteria

clinical:
  • • Positive Gram stain showing Gram-positive cocci
  • • Clinical signs of sepsis

Applicable To

  • • Sepsis due to unspecified Gram-positive cocci

Important Notes

  • • Ensure documentation supports the presence of Gram-positive cocci.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.0

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.

B95.8

Other specified bacterial agents 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 cocci?

The ICD-10 code for sepsis due to gram-positive cocci is A41.58, used when the specific organism is not identified.

How do you code sepsis with gram positive cocci?

Code A41.58 is used for sepsis due to unspecified gram-positive cocci. If the organism is identified, use the specific code, such as A40.0 for Streptococcus.

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