ICD-10 Coding for Staphylococcus epidermidis Infection(B95.7)
Complete ICD-10-CM coding and documentation guide for Staphylococcus epidermidis Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Staphylococcus epidermidis Infection
Bacterial and viral infectious agents
This range includes codes for identifying infectious agents as the cause of diseases classified elsewhere, such as S. epidermidis.
A40-A41Primary Range
Sepsis
This range includes codes for sepsis, which can be caused by S. epidermidis, especially in device-related infections.
Key Information: ICD-10 code for Staphylococcus epidermidis
Essential facts and insights about Staphylococcus epidermidis Infection
Primary ICD-10-CM Code for staphylococcus epidermidis
Decision Criteria
clinical Criteria
- Confirmed identification of S. epidermidis through laboratory testing.
coding Criteria
- Use as a secondary code to specify the organism in infections.
Applicable To
- Staphylococcus epidermidis
Excludes
- Staphylococcus aureus (B95.6)
Clinical Validation Requirements
- Confirmed identification of S. epidermidis through laboratory tests such as MALDI-TOF or PCR.
- Positive cultures from sterile sites indicating S. epidermidis.
Code-Specific Risks
- Incorrectly using as a principal diagnosis.
- Failure to link to a site-specific infection code.
Coding Notes
- B95.7 should always follow the primary infection code in sequencing.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of cardiac pacemaker
Z95.810Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Staphylococcus epidermidis Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B95.7.
Impact
Clinical: May lead to inappropriate treatment choices., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Ensure laboratory confirmation of the specific organism., Educate clinicians on the importance of detailed documentation.
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data on infection sources.
Mitigation Strategy
Always sequence a site-specific infection code first, followed by B95.7.
Impact
B95.7 used as a primary code instead of secondary.
Mitigation Strategy
Educate coding staff on proper sequencing rules.
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 Staphylococcus epidermidis Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Staphylococcus epidermidis Infection
Use these documentation templates to ensure complete and accurate documentation for Staphylococcus epidermidis Infection. These templates include all required elements for proper coding and billing.
Device-associated bloodstream infection
Specialty: Infectious DiseaseRequired Elements
- Patient demographics and clinical presentation.
- Laboratory results confirming S. epidermidis.
- Description of the device involved and infection site.
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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