ICD-10 Coding for Acinetobacter baumannii Infection(A41.54, B96.83)
Complete ICD-10-CM coding and documentation guide for Acinetobacter baumannii Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acinetobacter baumannii Infection
A41-A41.9Primary Range
Sepsis due to other specified bacteria
This range includes codes for sepsis caused by specific bacteria, including Acinetobacter baumannii.
Other bacterial agents as the cause of diseases classified elsewhere
This range is used to identify the specific bacterial cause of an infection, such as Acinetobacter baumannii.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A41.54 | Sepsis due to Acinetobacter baumannii | Use when sepsis is confirmed to be caused by Acinetobacter baumannii. |
|
| B96.83 | Acinetobacter baumannii as the cause of diseases classified elsewhere | Use to specify Acinetobacter baumannii as the causative organism. |
|
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 Acinetobacter baumannii sepsis
Essential facts and insights about Acinetobacter baumannii Infection
Primary ICD-10-CM Codes for data common
Decision Criteria
clinical Criteria
- Confirmed Acinetobacter baumannii in blood culture
documentation Criteria
- Detailed organism identification and clinical signs of sepsis
Applicable To
- Sepsis with confirmed Acinetobacter baumannii
Excludes
- Sepsis without specified organism (A41.9)
Clinical Validation Requirements
- Positive blood culture for Acinetobacter baumannii
- Hemodynamic instability (MAP <65 mmHg)
Code-Specific Risks
- Incorrect use without organism confirmation
Coding Notes
- Ensure documentation specifies the organism and confirms sepsis.
B96.83 - Acinetobacter baumannii as the cause of diseases classified elsewhere
Use to specify Acinetobacter baumannii as the causative organism.
Applicable To
- Infections caused by Acinetobacter baumannii
Excludes
- Infections not caused by Acinetobacter baumannii
Clinical Validation Requirements
- Laboratory confirmation of Acinetobacter baumannii
Coding Notes
This code should be used in conjunction with the primary condition code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Severe sepsis with septic shock
R65.21Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acinetobacter baumannii Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A41.54.
Impact
Clinical: Inaccurate treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Verify lab results before coding, Ensure documentation includes organism details
Impact
Reimbursement: Claims may be denied due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure blood cultures confirm Acinetobacter baumannii before coding.
Impact
Risk of audit if organism is not confirmed in documentation.
Mitigation Strategy
Ensure all documentation includes confirmed organism details.
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 Acinetobacter baumannii Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acinetobacter baumannii Infection
Use these documentation templates to ensure complete and accurate documentation for Acinetobacter baumannii Infection. These templates include all required elements for proper coding and billing.
Sepsis due to Acinetobacter baumannii
Specialty: Infectious DiseaseRequired Elements
- Organism identification
- Clinical signs of sepsis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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