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ICD-10 Coding for Bedbug Infestation(B88.2, S00.06XA)

Complete ICD-10-CM coding and documentation guide for Bedbug Infestation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cimex lectularius infestationBedbug bites

Related ICD-10 Code Ranges

Complete code families applicable to Bedbug Infestation

B88.2Primary Range

Other arthropod infestations

Primary code for documenting bedbug infestations.

Injuries to specific body parts

Used for site-specific nonvenomous insect bites, including bedbug bites.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
B88.2Other arthropod infestationsUse when infestation is confirmed or strongly suspected.
  • Visual confirmation of bedbugs or signs of infestation
  • Patient history consistent with bedbug exposure
S00.06XAInsect bite (nonvenomous) of scalp, initial encounterUse for bites located on the scalp.
  • Documented bite on scalp with description of lesion

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for bedbug bites

Essential facts and insights about Bedbug Infestation

Use B88.2 for bedbug infestation and site-specific codes for bites. Document location and characteristics.

Primary ICD-10-CM Codes for bedbugs

Other arthropod infestations
Billable Code

Decision Criteria

clinical Criteria

  • Visual confirmation of bedbugs or signs of infestation

documentation Criteria

  • Patient history consistent with bedbug exposure

Applicable To

  • Bedbug infestation

Excludes

Clinical Validation Requirements

  • Visual confirmation of bedbugs or signs of infestation
  • Patient history consistent with bedbug exposure

Code-Specific Risks

  • Using without confirming infestation
  • Not documenting exposure history

Coding Notes

  • Ensure infestation is documented with visual or historical evidence.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Pruritus

L29.9
Use for documenting itching associated with bites.

Other specified counseling

Z71.89
Use for counseling on pest control and prevention.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Pediculosis due to Pediculus humanus capitis

B85.0
Pediculosis involves lice, not bedbugs.

Scabies

B86
Scabies involves burrowing mites, not bedbugs.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Bedbug Infestation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B88.2.

Impact

Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify left or right for applicable body parts., Use templates to ensure completeness.

Impact

Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.

Mitigation Strategy

Always pair B88.2 with site-specific bite codes when applicable.

Impact

Claims may be audited for lack of specificity in bite location coding.

Mitigation Strategy

Ensure all bite locations are documented with specific ICD-10 codes.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Bedbug Infestation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Bedbug Infestation

Use these documentation templates to ensure complete and accurate documentation for Bedbug Infestation. These templates include all required elements for proper coding and billing.

Emergency Department Visit for Bedbug Bites

Specialty: Emergency Medicine

Required Elements

  • Patient history of exposure
  • Description of bite characteristics
  • Signs of infection or allergic reaction

Example Documentation

Patient presents with multiple erythematous papules on arms and legs, consistent with bedbug bites. No signs of secondary infection.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has insect bites.
Good Documentation Example
Patient presents with three erythematous papules on right forearm, consistent with bedbug bites. No signs of infection.
Explanation
The good example provides specific location, description, and excludes infection.

Need help with ICD-10 coding for Bedbug Infestation? Ask your questions below.

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