ICD-10 Coding for Klebsiella oxytoca Infection(A41.89, B96.89, Z16.1)
Complete ICD-10-CM coding and documentation guide for Klebsiella oxytoca Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Klebsiella oxytoca Infection
A40-A41Primary Range
Other bacterial diseases
Includes septicemia due to specific bacteria, including Klebsiella species.
Bacterial and viral infectious agents
Used to identify the infectious agent in diseases classified elsewhere.
Resistance to antimicrobial drugs
Used when documenting resistance to antibiotics, such as ESBL production.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A41.89 | Other specified sepsis | Use when Klebsiella oxytoca is confirmed as the causative organism in sepsis. |
|
| B96.89 | Other specified bacterial agents as the cause of diseases classified elsewhere | Use as an additional code to specify Klebsiella oxytoca as the infectious agent. |
|
| Z16.1 | Resistance to other beta-lactam antibiotics | Use when Klebsiella oxytoca is confirmed to be ESBL-producing. |
|
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 oxytoca
Essential facts and insights about Klebsiella oxytoca Infection
Primary ICD-10-CM Codes for klebsiella oxytoca
Decision Criteria
clinical Criteria
- Confirmed Klebsiella oxytoca in blood cultures.
documentation Criteria
- Documentation must specify Klebsiella oxytoca.
Applicable To
- Septicemia due to Klebsiella oxytoca
Excludes
- Septicemia due to Klebsiella pneumoniae (A41.5)
Clinical Validation Requirements
- Blood cultures confirming Klebsiella oxytoca
- Clinical signs of sepsis
Code-Specific Risks
- Incorrectly coding as A41.5 for Klebsiella pneumoniae.
Coding Notes
- Ensure documentation specifies Klebsiella oxytoca to avoid confusion with other Klebsiella species.
B96.89 - Other specified bacterial agents as the cause of diseases classified elsewhere
Use as an additional code to specify Klebsiella oxytoca as the infectious agent.
Applicable To
- Klebsiella oxytoca
Clinical Validation Requirements
- Microbiological confirmation of Klebsiella oxytoca
Coding Notes
Use in conjunction with primary diagnosis codes to specify the infectious agent.
Z16.1 - Resistance to other beta-lactam antibiotics
Use when Klebsiella oxytoca is confirmed to be ESBL-producing.
Applicable To
- ESBL-producing Klebsiella oxytoca
Clinical Validation Requirements
- Laboratory confirmation of antibiotic resistance
Coding Notes
Ensure resistance is documented in the medical record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Resistance to other beta-lactam antibiotics
Z16.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Klebsiella oxytoca Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A41.89.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement for resistant infections.
Mitigation Strategy
Review lab reports for resistance data., Document resistance in clinical notes.
Impact
Reimbursement: Incorrect coding may lead to improper DRG assignment., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use A41.89 and B96.89 to correctly code Klebsiella oxytoca.
Impact
Risk of audits due to unspecified organism in sepsis coding.
Mitigation Strategy
Ensure all sepsis cases specify the causative organism.
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 oxytoca Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Klebsiella oxytoca Infection
Use these documentation templates to ensure complete and accurate documentation for Klebsiella oxytoca Infection. These templates include all required elements for proper coding and billing.
Septicemia due to Klebsiella oxytoca
Specialty: Infectious DiseaseRequired Elements
- Organism identification
- Site of infection
- Antibiotic resistance profile
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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