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.
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