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Home/Diagnosis/ICD-10 Coding for Streptococcal Infections

ICD-10 Coding for Streptococcal Infections

J02.0
A38.9
A40.0

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

Also Known as:
Strep Throat
Scarlet Fever
Streptococcal Sepsis
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Key Information: ICD-10 Coding for Streptococcal Infections

Essential facts and insights about ICD-10 Coding for Streptococcal Infections

Use ICD-10 code J02.0 for streptococcal pharyngitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Streptococcal pharyngitis

Billable Code
J02.0
Billable

Diagnostic Criteria

  • • Positive RADT or culture for Group A Streptococcus

Applicable To

  • • Strep throat

Important Notes

  • • Ensure RADT or culture results are documented.

Scarlet fever

Billable Code
A38.9
Billable

Diagnostic Criteria

  • • Presence of scarlatiniform rash and pharyngitis

Applicable To

  • • Scarlatina

Important Notes

  • • Document rash and pharyngitis clearly.

Sepsis due to Streptococcus, group A

Billable Code
A40.0
Billable

Diagnostic Criteria

  • • Blood culture positive for Streptococcus

Applicable To

  • • Streptococcal sepsis

Important Notes

  • • Sequence sepsis codes correctly.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.0

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

Use to specify the organism causing the infection.

R65.20

Severe sepsis without septic shock

Use to indicate severe sepsis.

Frequently Asked Questions

What is the ICD-10 code for streptococcal pharyngitis?

The ICD-10 code for streptococcal pharyngitis is J02.0, used when pharyngitis is confirmed to be caused by Group A Streptococcus.

How do you code streptococcal sepsis?

Streptococcal sepsis is coded as A40.0, with additional codes for severe sepsis (R65.20) if applicable.

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