ICD-10-CM CATEGORY CODE RANGE SPECIFIC CONDITION ICD-10 CODE Diseases of the Circulatory System I00 –I99 Essential hypertension I10 Unspecified atrial fibrillation I48.91 Diseases of the Respiratory System J00 –J99 Acute pharyngitis, NOS J02.9 Acute upper respiratory infection J06._ Acute bronchitis, *,unspecified J20.9 Vasomotor rhinitis J30.0
The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
ICD-10 code Z16. 12 for Extended spectrum beta lactamase (ESBL) resistance is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Current guidelines recommend either trimethoprim/sulfamethoxazole, norfloxacin, or ciprofloxacin for definitive antibiotic therapy of EPEC diarrhea in adults [3].
ICD-10 code R65. 21 for Severe sepsis with septic shock is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10 code G93. 41 for Metabolic encephalopathy is a medical classification as listed by WHO under the range - Diseases of the nervous system .
Antibiotics to treat non-STEC diarrheagenic E. coli include fluoroquinolones such as ciprofloxacin, macrolides such as azithromycin, and rifaximin.
coli (EPEC) is a type of E. coli bacteria that can make you sick with diarrhea.
Chapter-specific guidelines state, “First code for the underlying systemic infection, followed by R65. 21, septic shock. If the causal organism is not documented, assign code A41. 9, sepsis, unspecified organism, for the infection.
Septic shock – Code first the underlying systemic infection, such as 038.0 (Streptococcal septicemia), then code 995.92 for severe sepsis, then code 785.52 for septic shock and finally assign the code for the specific type of organ failure inherent to septic shock, such as 584.9 for acute renal failure.
(Septic shock cannot occur without sepsis and severe sepsis being present). You would need to add codes for the underlying condition (local infection) as well as codes for the organ dysfunction resulting from the sepsis that support the presence of severe sepsis.
If you look for metabolic encephalopathy, it has the code G93. 41 with the subcategories of drug induced and toxic, both with G92 codes. On the other hand, it can also be looked at as yes, you can code both. Again, from the Official Guidelines, code G93.
Classification of the Major Metabolic Encephalopathies. There are two major types of metabolic encephalopathies, namely those due to lack of glucose, oxygen or metabolic cofactors (which are usually vitamin-derived) and those due to peripheral organ dysfunction (Table 38-1).
Metabolic encephalopathy is a problem in the brain. It is caused by a chemical imbalance in the blood. The imbalance is caused by an illness or organs that are not working as well as they should. It is not caused by a head injury. When the imbalance affects the brain, it can lead to personality changes.