ICD-10 Coding for Group B Streptococcus Positive in Pregnancy(O99.820)
Complete ICD-10-CM coding and documentation guide for Group B Streptococcus Positive in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Group B Streptococcus Positive in Pregnancy
O99.8Primary Range
Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
This range includes codes for conditions that complicate pregnancy, including GBS carrier state.
Bacterial and viral infectious agents
This range includes codes for identifying infectious agents, such as Streptococcus B.
Key Information: ICD-10 code for GBS positive in pregnancy
Essential facts and insights about Group B Streptococcus Positive in Pregnancy
Primary ICD-10-CM Code for group b streptococcus positive in pregnancy
Decision Criteria
clinical Criteria
- Positive GBS culture without infection symptoms
documentation Criteria
- Specify culture method and results
Applicable To
- Group B streptococcus carrier complicating pregnancy
Excludes
- Active infection with Streptococcus B (use O98.82)
Clinical Validation Requirements
- Positive vaginal/rectal culture for GBS without symptoms of infection
- Urine culture with ≥10⁴ CFU/mL GBS without UTI symptoms
Code-Specific Risks
- Misclassification as an active infection
- Incorrect use in non-pregnant patients
Coding Notes
- Ensure documentation specifies colonization vs. active infection.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Streptococcus, group B, as the cause of diseases classified elsewhere
B95.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other specified infections and parasitic diseases complicating pregnancy, childbirth and the puerperium
O98.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Group B Streptococcus Positive in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.820.
Impact
Clinical: Lack of specificity can lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Always specify culture method and results., Differentiate between colonization and active infection.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use O99.820 for asymptomatic GBS bacteriuria
Impact
Using incorrect codes for GBS carrier state can lead to audits.
Mitigation Strategy
Ensure clear documentation of culture results and clinical symptoms.
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 Group B Streptococcus Positive in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Group B Streptococcus Positive in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Group B Streptococcus Positive in Pregnancy. These templates include all required elements for proper coding and billing.
GBS Carrier State in Pregnancy
Specialty: ObstetricsRequired Elements
- Positive GBS culture
- Gestational age
- Absence of infection symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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