ICD-10 Coding for Proteus mirabilis Infection(B96.4, N39.0, A41.89)
Complete ICD-10-CM coding and documentation guide for Proteus mirabilis Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Proteus mirabilis Infection
Bacterial and viral infectious agents
Includes codes for identifying infectious agents as the cause of diseases classified elsewhere.
Other bacterial sepsis
Includes codes for sepsis due to various bacterial agents, including Proteus mirabilis.
N30-N39Primary Range
Other diseases of the urinary system
Primary range for urinary tract infections, which can be caused by Proteus mirabilis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B96.4 | Proteus (mirabilis) as the cause of diseases classified elsewhere | Use as an additional code to identify Proteus mirabilis as the causative organism. |
|
| N39.0 | Urinary tract infection, site not specified | Use as the primary code for uncomplicated UTI caused by Proteus mirabilis. |
|
| A41.89 | Other specified sepsis | Use for sepsis due to Proteus mirabilis when specified in documentation. |
|
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 Proteus mirabilis
Essential facts and insights about Proteus mirabilis Infection
Primary ICD-10-CM Codes for proteus mirabilis
Decision Criteria
clinical Criteria
- Positive identification of Proteus mirabilis in culture
Applicable To
- Proteus mirabilis as causative organism
Excludes
- Primary infection codes
Clinical Validation Requirements
- Positive culture for Proteus mirabilis
- Identification through urine or blood culture
Code-Specific Risks
- Cannot be used as a primary diagnosis code
Coding Notes
- Ensure linkage to the primary infection site code.
N39.0 - Urinary tract infection, site not specified
Use as the primary code for uncomplicated UTI caused by Proteus mirabilis.
Applicable To
- Uncomplicated UTI
Excludes
- Complicated UTI with specified site
Clinical Validation Requirements
- Symptoms of UTI such as dysuria, frequency
- Positive urine culture
Coding Notes
Document symptoms and culture results clearly.
A41.89 - Other specified sepsis
Use for sepsis due to Proteus mirabilis when specified in documentation.
Applicable To
- Sepsis due to specified bacteria not elsewhere classified
Excludes
- Sepsis due to anaerobes
Clinical Validation Requirements
- SIRS criteria met
- Positive blood culture for Proteus mirabilis
Coding Notes
Ensure documentation of organism and sepsis criteria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Urinary tract infection, site not specified
N39.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Pseudomonas (aeruginosa) as the cause of diseases classified elsewhere
B96.5Acute pyelonephritis
N10Sepsis due to gram-negative organisms
A41.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Proteus mirabilis Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B96.4.
Impact
Clinical: May lead to inappropriate antibiotic selection., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials due to lack of specificity.
Mitigation Strategy
Ensure lab results are reviewed and documented., Educate staff on the importance of organism specification.
Impact
Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data representation of infection etiology.
Mitigation Strategy
Always use B96.4 as a secondary code with a primary infection code.
Impact
Reimbursement: Potential for incorrect DRG assignment., Compliance: Fails to meet coding guidelines for specificity., Data Quality: Incomplete clinical data for infection tracking.
Mitigation Strategy
Ensure documentation specifies the infection site and organism.
Impact
Failure to document the specific organism can lead to audit issues.
Mitigation Strategy
Implement regular training on documentation requirements.
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 Proteus mirabilis Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Proteus mirabilis Infection
Use these documentation templates to ensure complete and accurate documentation for Proteus mirabilis Infection. These templates include all required elements for proper coding and billing.
Acute UTI due to Proteus mirabilis
Specialty: UrologyRequired Elements
- Positive urine culture for Proteus mirabilis
- Symptoms of UTI
- Antibiotic treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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