ICD-10 Coding for Klebsiella Infection(A41.59, B96.1)
Complete ICD-10-CM coding and documentation guide for Klebsiella Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Klebsiella Infection
A41.5-A41.59Primary Range
Sepsis due to other Gram-negative organisms
Primary range for coding sepsis due to Klebsiella species.
Klebsiella pneumoniae as the cause of diseases classified elsewhere
Used as an ancillary code to specify Klebsiella as the causative organism.
Genetic carrier and resistance status
Used to indicate resistance, such as ESBL-producing Klebsiella.
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 | Sepsis due to other Gram-negative organisms | Use when sepsis is confirmed to be due to Klebsiella species. |
|
| B96.1 | Klebsiella pneumoniae as the cause of diseases classified elsewhere | Use as a secondary code to specify Klebsiella as the causative 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 infection
Essential facts and insights about Klebsiella Infection
Primary ICD-10-CM Codes for klebsiella
Decision Criteria
clinical Criteria
- Presence of Klebsiella in blood cultures
coding Criteria
- Sepsis due to Gram-negative organism
Applicable To
- Sepsis due to Klebsiella
Excludes
- Sepsis due to E. coli (A41.51)
Clinical Validation Requirements
- Positive blood cultures for Klebsiella
- Clinical signs of sepsis
Code-Specific Risks
- Incorrect sequencing with transplant complications
Coding Notes
- Ensure sepsis is sequenced before any transplant complication codes.
B96.1 - Klebsiella pneumoniae as the cause of diseases classified elsewhere
Use as a secondary code to specify Klebsiella as the causative organism.
Applicable To
- Klebsiella pneumoniae infection
Excludes
- Primary Klebsiella infections
Clinical Validation Requirements
- Microbiological confirmation of Klebsiella
- Documentation of infection site
Coding Notes
Always used in conjunction with a primary infection code.
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 Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A41.59.
Impact
Clinical: Inadequate treatment targeting, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Always specify the organism in sepsis documentation, Use lab results to confirm organism
Impact
Reimbursement: Potential denial of claims due to incomplete coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Always pair B96.1 with a primary infection code like A41.59 or N39.0.
Impact
Failure to code the primary infection site can lead to audits.
Mitigation Strategy
Ensure all infection sites are coded with primary and ancillary codes.
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 Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Klebsiella Infection
Use these documentation templates to ensure complete and accurate documentation for Klebsiella Infection. These templates include all required elements for proper coding and billing.
Klebsiella pneumoniae sepsis
Specialty: Infectious DiseaseRequired Elements
- Infection site
- Causative organism
- Antibiotic resistance
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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