ICD-10 Coding for Klebsiella pneumoniae sepsis(A41.59, B96.1)
Complete ICD-10-CM coding and documentation guide for Klebsiella pneumoniae sepsis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Klebsiella pneumoniae sepsis
A41.5-A41.9Primary Range
Other sepsis of specified organism
This range includes codes for sepsis caused by specific organisms, including Gram-negative bacteria like Klebsiella.
Klebsiella pneumoniae as the cause of diseases classified elsewhere
This code is used as an additional code to identify the organism causing the disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A41.59 | Other Gram-negative sepsis | Use when sepsis is confirmed to be caused by Klebsiella pneumoniae. |
|
| B96.1 | Klebsiella pneumoniae as the cause of diseases classified elsewhere | Use as an additional code to specify the organism causing the sepsis. |
|
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 pneumoniae sepsis
Essential facts and insights about Klebsiella pneumoniae sepsis
Primary ICD-10-CM Codes for klebsiella pneumoniae sepsis
Decision Criteria
clinical Criteria
- Positive blood culture for Klebsiella pneumoniae
documentation Criteria
- Explicit documentation of sepsis due to Klebsiella pneumoniae
Applicable To
- Sepsis due to Klebsiella pneumoniae
Excludes
- Sepsis due to other specified organisms
Clinical Validation Requirements
- Positive blood culture for Klebsiella pneumoniae
- Clinical signs of sepsis such as fever, tachycardia, and hypotension
Code-Specific Risks
- Incorrect sequencing if sepsis develops post-admission
Coding Notes
- Ensure documentation explicitly links sepsis to Klebsiella pneumoniae.
B96.1 - Klebsiella pneumoniae as the cause of diseases classified elsewhere
Use as an additional code to specify the organism causing the sepsis.
Applicable To
- Klebsiella pneumoniae as a causative organism
Clinical Validation Requirements
- Laboratory confirmation of Klebsiella pneumoniae
Coding Notes
Always use with a primary sepsis code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Klebsiella pneumoniae sepsis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A41.59.
Impact
Clinical: Inaccurate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential revenue loss.
Mitigation Strategy
Educate providers on documentation requirements., Implement checklist for sepsis documentation.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on organism-specific sepsis cases.
Mitigation Strategy
Use A41.59 with B96.1 for specificity.
Impact
Incorrect organism specification can lead to audit flags.
Mitigation Strategy
Ensure all sepsis cases have organism confirmation.
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 pneumoniae sepsis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Klebsiella pneumoniae sepsis
Use these documentation templates to ensure complete and accurate documentation for Klebsiella pneumoniae sepsis. These templates include all required elements for proper coding and billing.
Sepsis due to Klebsiella pneumoniae in ICU
Specialty: Intensive CareRequired Elements
- Positive blood culture
- Sepsis symptoms
- Organ dysfunction
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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