ICD – 10 Guidelines Chapter-1 Selection and Sequencing of MRSA codes

ICD – 10 Guidelines Chapter-1 Selection and Sequencing of MRSA codes

 

  • Methicillin Resistant Staphylococcus aureus (MRSA) Conditions

 

1) Selection and sequencing of MRSA codes

 

 (a) Combination codes for MRSA infection

  • When a patient is diagnosed with infection like sepsis due to MRSA give combination code
  • Sepsis due to Methicillin resistant Staphylococcus aureus code A41.02
  • Pneumonia due to Methicillin resistant Staphylococcus aureus code J15.212
  • B95.62,  Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere, as an additional code,
  • Because the combination code includes the type of infection and the MRSA organism
  • Don’t code z 16.11 resistance to pencillins

 

(b) Other codes for MRSA infection

 

  • When a patient is diagnosed with infection like (e.g., wound infection, stitch abscess, urinary tract infection) due to MRSA and this if we don’t have combo code
  • so in this cases code B95.62, Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere for the MRSA infection.
  • Don’t code z 16.11 resistance to pencillins
  • UTI due to MRSA how to code?
  • PDX:n39.0
  • SDX:B95.62

 

(c) Methicillin susceptible Staphylococcus aureus (MSSA) and MRSA colonization

  • Colonization or carrying :  when MSSA or MSRA organism is present in the body without causing illness is known as colonization or carrier of MSSA or MRSA.
  • When the positive MRSA colonization documentation is given by provider such as“ MRSA screen positive” or “MRSA nasal swab positive”.
  • code Z22.322, Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus, for patients documented as having MRSA colonization.
  • code Z22.321, Carrier or suspected carrier of Methicillin susceptible Staphylococcus aureus, for patient documented as having MSSA colonization.

 

(d) MRSA colonization and infection

  • When patient is having both MRSA colonization and infection developed during admission code both infection and MRSA colonization.

Ex: sepsis and MRSA colonization.

PDX: A41.9

SDX: Z22.322

 

(f) Zika virus infections.

  • 1) Code only confirmed cases
  • When provider documentation is given as conformed zika virus then code A92.5 code .
  • Don’t code if documentation is given as probable, suspected or possible asign the reason for visit complaint like fever, joint pain etc., or
  • Z20.828, Contact with and (suspected) exposure to other viral communicable diseases.

 

Watch the video for Clear Understanding:

Leave a Reply

Your email address will not be published. Required fields are marked *