Y64 is a non-billable ICD-10 code for Contaminated medical or biological substances. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
Since there is no clinical bacteremia, no form of bacteremia should be coded. Thanks Paul. I do see a argument for the bacteremia though. Physicians are required to treat positive blood cultures.
There are really only four bugs that are commonly contaminants when blood cultures are positive: 1 Coag negative staph (gram positive cocci) 2 Corynebacterium (gram positive rods) 3 Propionibacterium acnes (anaerobic gram positive rods) 4 Bacillus species (anaerobic gram positive rods)
These codes can be used for all HIPAA-covered transactions. Billable - Y64.0 Contaminated medical or biological substance, transfused or infused Billable - Y64.1 Contaminated medical or biological substance, injected or used for immunization Billable - Y64.8 Contaminated medical or biological substance administered by other means
ICD-10-CM Code for Bacteremia R78. 81.
ICD-10 code R79. 9 for Abnormal finding of blood chemistry, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
What's the diagnosis in ICD-10? Bacteremia – Code R78. 81 (Bacteremia).
To identify patients with possible Gram-negative bacteremia in the NPR, we used diagnoses of “septicemia/sepsis due to other Gram-negative organisms” (ICD-10 code A41. 5).
89.
An abnormal amount of a substance in the blood can be a sign of disease or side effect of treatment. Blood chemistry tests are used to help diagnose and monitor many conditions before, during, and after treatment.
Bacteremia is the simple presence of bacteria in the blood while Septicemia is the presence and multiplication of bacteria in the blood. Septicemia is also known as blood poisoning.
Bacteremia is the presence of bacteria in the blood, hence a microbiological finding. Sepsis is a clinical diagnosis needing further specification regarding focus of infection and etiologic pathogen, whereupon clinicians, epidemiologists and microbiologists apply different definitions and terminology.
If a patient is admitted because of bacteremia, it should be the principal diagnosis even though bacteremia is a symptom code, because it is the condition that occasioned the admission.
ICD-10 code B96. 89 for Other specified bacterial agents as the cause of diseases classified elsewhere is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
Gram-positive cocci are the most common cause of bloodstream infections in hemodialysis patients, with Staphylococcus aureus and coagulase-negative staphylococci causing most infections.
9: Fever, unspecified.
The 2022 edition of ICD-10-CM Z77.21 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Summary explanations of the Fiscal Year 2018 (FY 2018) ICD-10-CM changes effective October 1, 2017 are provided below. Addenda changes demonstrating the specific revisions to the code titles or instructional notes are not included in the explanations below. The official ICD-10-CM addenda has been posted on the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics website at http://www.cdc.gov/nchs/icd/icd10cm.htm.
There are 360 new ICD-10-CM codes implemented on October 1, 2017. In addition, 141 codes have been deleted and 226 code titles revised.
Off topic but since you brought up obstetrics Paul (lol)...it is very frustrating to have to sequence an "O" code as PDX on some of these pregnant patients who are very resource intensive. Trauma is very frustrating, especially those who should be in a MST DRG but end up in an OB DRG.
There will be a positive culture (probably a contaminant) and based on age or comorbid conditions the patient will be treated with IV antibiotics for the appropriate length of time based on the pathogen.
Physicians are required to treat positive blood cultures. At the time of admission, there was a positive blood culture. Although the culture was deemed a contaminant after study, the patient was treated for bacteremia that was present on admission.
Ok, I am down off the soap box. Coding and the clinical reality are not congruent and that's something we all struggle with.
We cannot code conditions that are no longer on the differential at discharge.