ICD-10 Coding for Staph epidermidis(B95.2, A41.89)
Complete ICD-10-CM coding and documentation guide for Staph epidermidis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Staph epidermidis
B95-B97Primary Range
Bacterial and viral infectious agents
This range includes codes for identifying the infectious agent responsible for a condition, such as Staphylococcus epidermidis.
Septicemia
This range covers codes for septicemia, which may be caused by Staphylococcus epidermidis.
Complications of surgical and medical care, not elsewhere classified
This range includes codes for infections related to medical devices, such as central line-associated bloodstream infections.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B95.2 | Staphylococcus epidermidis as the cause of diseases classified elsewhere | Use when S. epidermidis is identified as the causative organism of an infection. |
|
| A41.89 | Other specified sepsis | Use when sepsis is confirmed and S. epidermidis is 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 Staphylococcus epidermidis
Essential facts and insights about Staph epidermidis
Primary ICD-10-CM Codes for staph epidermidis
Decision Criteria
clinical Criteria
- Positive culture for S. epidermidis
documentation Criteria
- Detailed documentation of infection site and organism
Applicable To
- Staphylococcus epidermidis infection
Excludes
- Staphylococcus aureus infection
Clinical Validation Requirements
- Positive identification of S. epidermidis from culture
- Documentation of infection site
Code-Specific Risks
- Misidentification of the organism
- Failure to specify infection site
Coding Notes
- Always pair with a code for the specific infection site.
A41.89 - Other specified sepsis
Use when sepsis is confirmed and S. epidermidis is the causative organism.
Applicable To
- Sepsis due to other specified bacteria
Excludes
- Sepsis due to unspecified bacteria
Clinical Validation Requirements
- Systemic inflammatory response syndrome (SIRS) criteria met
- Positive blood cultures
Coding Notes
Ensure documentation supports sepsis diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Resistance to penicillins
Z16.11Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Staph epidermidis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B95.2.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document the specific site of infection., Use templates to ensure completeness.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in health records.
Mitigation Strategy
Always pair B95.2 with a code for the specific infection site.
Impact
Failure to document the infection site can lead to audit findings.
Mitigation Strategy
Implement documentation checks and use templates.
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 Staph epidermidis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Staph epidermidis
Use these documentation templates to ensure complete and accurate documentation for Staph epidermidis. These templates include all required elements for proper coding and billing.
Central line-associated bloodstream infection
Specialty: Infectious DiseaseRequired Elements
- Infection site
- Organism identification
- Antibiotic resistance
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Staph epidermidis? Ask your questions below.