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Home/Diagnosis/ICD-10 Coding for History of Clostridium difficile Infection

ICD-10 Coding for History of Clostridium difficile Infection

A04.71
A04.72
Z86.19

Complete ICD-10-CM coding and documentation guide for icd-10 coding for history of clostridium difficile infection includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
History of C. diff
Resolved Clostridium difficile
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Key Information: ICD-10 Coding for History of Clostridium difficile Infection

Essential facts and insights about ICD-10 Coding for History of Clostridium difficile Infection

Use ICD-10 code A04.71 for enterocolitis due to clostridium difficile, recurrent, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Enterocolitis due to Clostridium difficile, recurrent

Billable Code
A04.71
Billable

Diagnostic Criteria

  • • Recurrent episodes documented within 6 months

Applicable To

  • • Recurrent C. difficile infection

Important Notes

  • • Ensure documentation specifies recurrence and treatment details.

Enterocolitis due to Clostridium difficile, non-recurrent

Billable Code
A04.72
Billable

Diagnostic Criteria

  • • Single episode or episodes more than 8 weeks apart

Applicable To

  • • Non-recurrent C. difficile infection

Important Notes

  • • Ensure documentation specifies non-recurrence and treatment details.

Personal history of other infectious and parasitic diseases

Billable Code
Z86.19
Billable

Diagnostic Criteria

  • • Documentation of resolved infection
  • • No current symptoms or treatment

Applicable To

  • • History of resolved C. difficile infection

Important Notes

  • • Ensure documentation clearly states the infection is resolved.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.899

Other long term (current) drug therapy

Use when the patient is on long-term antibiotic therapy for recurrent C. difficile.

Frequently Asked Questions

When should Z86.19 be used for Clostridium difficile?

Use Z86.19 when the Clostridium difficile infection is fully resolved, with no ongoing symptoms or treatment, and is unrelated to the current care.

What is the ICD-10 code for a resolved C. difficile infection?

The ICD-10 code for a resolved Clostridium difficile infection is Z86.19, indicating a personal history of infectious diseases.

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