ICD-10 Coding for Klebsiella Bacteremia(A41.58, R78.81, B96.1)
Complete ICD-10-CM coding and documentation guide for Klebsiella Bacteremia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Klebsiella Bacteremia
A41.5Primary Range
Sepsis due to other Gram-negative organisms
Primary range for coding sepsis due to Klebsiella pneumoniae.
Klebsiella pneumoniae as the cause of diseases classified elsewhere
Used as an additional code to specify Klebsiella as the causative organism.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A41.58 | Sepsis due to other Gram-negative organisms | Use when Klebsiella bacteremia progresses to sepsis. |
|
| R78.81 | Bacteremia | Use when bacteremia is present without sepsis. |
|
| B96.1 | Klebsiella pneumoniae as the cause of diseases classified elsewhere | Use as an additional code to specify Klebsiella as the 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 Klebsiella bacteremia
Essential facts and insights about Klebsiella Bacteremia
Primary ICD-10-CM Codes for klebsiella bacteremia
Decision Criteria
clinical Criteria
- Presence of systemic inflammatory response and organ dysfunction.
Applicable To
- Sepsis due to Klebsiella pneumoniae
Excludes
- R78.81 Bacteremia
Clinical Validation Requirements
- Blood cultures positive for Klebsiella pneumoniae
- Signs of systemic inflammation (e.g., fever, leukocytosis)
- Presence of organ dysfunction
Code-Specific Risks
- Incorrectly coding R78.81 with A41.58 due to Excludes1 note.
Coding Notes
- Ensure documentation specifies sepsis due to Klebsiella.
R78.81 - Bacteremia
Use when bacteremia is present without sepsis.
Applicable To
- Transient bacteremia
Excludes
- Sepsis (A41.5x)
Clinical Validation Requirements
- Blood cultures positive for Klebsiella pneumoniae
- Absence of systemic inflammatory response
Coding Notes
Do not use with sepsis codes due to Excludes1 note.
B96.1 - Klebsiella pneumoniae as the cause of diseases classified elsewhere
Use as an additional code to specify Klebsiella as the organism.
Applicable To
- Klebsiella as causative organism
Clinical Validation Requirements
- Laboratory confirmation of Klebsiella pneumoniae
Coding Notes
Always used in conjunction with primary codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Klebsiella pneumoniae as the cause of diseases classified elsewhere
B96.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Klebsiella Bacteremia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A41.58.
Impact
Clinical: Potential misdiagnosis of sepsis., Regulatory: Non-compliance with coding guidelines., Financial: Incorrect DRG assignment.
Mitigation Strategy
Clarify 'septicemia' as sepsis or bacteremia., Educate providers on documentation specificity.
Impact
Reimbursement: Incorrect DRG assignment, potential underpayment., Compliance: Violation of Excludes1 note., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider to confirm if bacteremia is causing sepsis.
Impact
Misclassification of bacteremia as sepsis.
Mitigation Strategy
Ensure documentation meets sepsis criteria.
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 Klebsiella Bacteremia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Klebsiella Bacteremia
Use these documentation templates to ensure complete and accurate documentation for Klebsiella Bacteremia. These templates include all required elements for proper coding and billing.
Klebsiella bacteremia without sepsis
Specialty: Infectious DiseaseRequired Elements
- Blood culture results
- Absence of systemic inflammatory response
- No organ dysfunction
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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