ICD-10 Coding for Klebsiella Sepsis(A41.59, B96.2)
Complete ICD-10-CM coding and documentation guide for Klebsiella Sepsis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Klebsiella Sepsis
A40-A41Primary Range
Other bacterial sepsis
This range includes codes for sepsis caused by specific bacteria, including Klebsiella.
Bacterial and viral infectious agents
This range includes codes for identifying the infectious agent in diseases classified elsewhere, such as Klebsiella pneumoniae.
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 and Klebsiella is identified as the causative organism. |
|
| B96.2 | Klebsiella pneumoniae as the cause of diseases classified elsewhere | Use to specify Klebsiella as the causative organism in infections classified elsewhere. |
|
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 sepsis
Essential facts and insights about Klebsiella Sepsis
Primary ICD-10-CM Codes for klebsiella sepsis
Decision Criteria
clinical Criteria
- Positive blood cultures for Klebsiella
coding Criteria
- Sepsis due to Klebsiella confirmed
documentation Criteria
- Documented evidence of Klebsiella as the causative organism
Applicable To
- Sepsis due to Klebsiella pneumoniae
Excludes
- Sepsis due to other specified Gram-negative organisms
Clinical Validation Requirements
- Blood cultures positive for Klebsiella
- Elevated lactate levels
- qSOFA score ≥2
Code-Specific Risks
- Incorrectly using A41.9 for unspecified sepsis when Klebsiella is documented.
Coding Notes
- Ensure documentation specifies Klebsiella as the causative organism to use A41.59.
B96.2 - Klebsiella pneumoniae as the cause of diseases classified elsewhere
Use to specify Klebsiella as the causative organism in infections classified elsewhere.
Applicable To
- Klebsiella pneumoniae infection
Excludes
- Sepsis due to Klebsiella (A41.59)
Clinical Validation Requirements
- Laboratory confirmation of Klebsiella in cultures
Coding Notes
Use in conjunction with codes for specific infections to specify Klebsiella as the cause.
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
B96.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Klebsiella 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: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of infection source., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Query provider to specify sepsis as A41.59 when Klebsiella is confirmed.
Impact
Risk of incorrect sepsis coding due to lack of organism specification.
Mitigation Strategy
Ensure documentation includes organism identification.
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 Sepsis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Klebsiella Sepsis
Use these documentation templates to ensure complete and accurate documentation for Klebsiella Sepsis. These templates include all required elements for proper coding and billing.
Sepsis due to Klebsiella pneumoniae with pneumonia
Specialty: Infectious DiseaseRequired Elements
- Positive blood cultures for Klebsiella
- Chest X-ray findings
- Lactate levels
- qSOFA score
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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