icd 10 code for recurrent c diff infection

by Prof. Jeff Muller V 9 min read

Enterocolitis due to Clostridium difficile. The 2019 edition of ICD-10-CM A04.7 became effective on October 1, 2018. This is the American ICD-10-CM version of A04.7 - other international versions of ICD-10 A04.7 may differ.

Enterocolitis due to Clostridium difficile, recurrent
A04. 71 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Full Answer

What is the diagnosis code for C diff?

Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code A04.71 Enterocolitis due to Clostridium difficile, recurrent 2018 - New Code 2019 2020 2021 2022 Billable/Specific Code A04.71 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM A04.71 became effective on October 1, 2021.

What are the medications for C diff?

Enterocolitis due to Clostridium difficile, not specified as recurrent. Enterocolitis d/t Clostridium difficile, not spcf as recur. ICD-10-CM Diagnosis Code A04.72. Enterocolitis due to Clostridium difficile, not specified as recurrent. 2018 - New Code …

What does the term 'C diff infection' refer to?

Oct 01, 2021 · 2018 - New Code 2019 2020 2021 2022 Billable/Specific Code. A04.72 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Enterocolitis d/t Clostridium difficile, not spcf as recur; The 2022 edition of ICD-10-CM A04.72 became effective on October 1, 2021. This is the American ICD …

What ICD 10 will cover a CBC?

2 rows · A04.71. Enterocolitis due to Clostridium difficile, recurrent. A04.72. Enterocolitis due to ...

What is the ICD-10 code for C. diff infection?

All patients with a positive laboratory result for C. difficile (Bact+) and/or the ICD-10 discharge code for C. difficile infection, A04. 7, as principal or associated diagnosis (ICD10+), were identified.

What is recurrent C. diff?

Recurrence of Clostridium difficile infection (CDI) is very common leading to significant morbidity and increased healthcare costs. It is defined as a relapse of CDI symptoms within 2 - 8 weeks of successful treatment of the initial episode [1]. About 15-35% of CDI patients suffer from recurrent infections [2].Jun 11, 2019

How do you code C. diff infection?

ICD-10 code A04. 7 for Enterocolitis due to Clostridium difficile is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .

What is the ICD-10 code for recurrent infections?

Acute recurrent sinusitis, unspecified The 2022 edition of ICD-10-CM J01. 91 became effective on October 1, 2021. This is the American ICD-10-CM version of J01.

How is Recurrent C. diff diagnosed?

Diagnosis is based on unexplained diarrhea and a positive C difficile assay. The goal of therapy for recurrent CDI is to allow the normal colonic microbiota to restore itself. Fecal microbiota transplantation has shown efficacy for treating recurrent CDI.Jun 1, 2020

Why does C. diff reoccur?

Recurrent CDI can caused by either relapse due to the original infecting strain or reinfection with a new strain. Previous studies have demonstrated that continued non-CDI antibiotic treatment and a failed immune response to C. difficile toxins A and B are risk factors for recurrent CDI (15, 20, 25).Nov 16, 2012

What is the ICD-10 code for C. diff diarrhea?

2022 ICD-10-CM Diagnosis Code A04. 7: Enterocolitis due to Clostridium difficile.

What is the ICD-10 code for diarrhea?

OTHER COMMON GI SYMPTOM CODESColicR10.83Occult blood in feces/stoolR19.5DiarrheaR19.7Functional dyspepsia (indigestion)K30ConstipationK59.0013 more rows

What is the diagnosis code for diarrhea?

ICD-10 | Diarrhea, unspecified (R19. 7)

What is the ICD-10 code for infectious disease?

2022 ICD-10-CM Diagnosis Code B99. 9: Unspecified infectious disease.

What is the ICD-10 code for wound infection?

ICD-10-CM Code for Local infection of the skin and subcutaneous tissue, unspecified L08. 9.

What is the ICD-10 code for history of H. pylori infection?

ICD-10-CM Code for Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere B96. 81.

What is C diff?

Clostridium Difficile Enterocolitis (C. diff) is a diagnosis that coders see a lot these days. This is a bacteria that causes inflammation in the large intestine (colitis) and may cause watery diarrhea, fever, nausea and abdominal pain. C. diff causes antibiotic-associated colitis by colonizing the intestine after the normal gut flora is altered by ...

Where do bacteria get infected?

The bacteria is shed in feces and people may become infected if they touch a surface that has been contaminated ( e.g., commode, bathtub) and then touch their mouth or mucous membranes.

What is the ICD-10 code for enterocolitis?

A04.7 is a non-billable ICD-10 code for Enterocolitis due to Clostridium difficile. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.

What is a 3 character code?

A 3-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7 th character, if applicable.

What is the ICd 10 code for clostridium difficile?

CDI has been coded in ICD-10-CM at A04.7 Enterocolitis due to Clostridium difficile. The notes indicate this diagnosis code includes pseudomembranous colitis. Partly due to the higher morbidity of recurrent CDI and the different treatment regimens, the 2018 ICD-10-CM code set distinguishes between recurrent CDI and CDI not specified as recurrent at category code A04.7:#N#A04.71 Entercolitis due to clostridium difficile, recurrent#N#A04.72 Entercolitis due to clostridium difficile, not specified as recurrent#N#Educate providers of the new specificity for recurrent CDI. And remember there was a change to Section 1 of the 2017 ICD-10-CM Official Guidelines for Coding and Reporting to clarify the provider’s role:#N#Code Assignment and Clinical Criteria: The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.#N#Using the new codes allows better tracking of recurrent CDI, and may help with managed care pre-certification processes for alternative treatment regimens by identifying recurrent CDI.

How long does it take for a CDI to recur?

The American College of Gastroenterology has defined recurrent CDI as an “episode of CDI that occurs eight weeks after the onset of a previous episode, provided the symptoms from the previous episode resolved.”. The risk of recurrence is higher among patients who: Are older than 65;

What is CDI in healthcare?

Each year, healthcare treats close to 3 million episodes of CDI, an infection by an anaerobic, gram-positive, spore-forming bacillus, typically manifesting as enterocolitis with acute onset diarrhea, and possibly progressing to pseudomembranous colitis. Typically, it’s diagnosed with positive results from two primary reference tests — the C. diff. cytotoxin neutralization assay and toxigenic culture — after the onset of acute diarrhea, absent some other cause for the diarrhea. Nosocomial transmission is typically a function of environmental surface contamination and touch between staff and other patients. It’s also associated with antibiotic treatment or chemotherapy affecting the normal flora of the colon. CDI costs the healthcare system an estimated at $3.2 billion, annually.#N#As many as 20 percent of patients infected with C. diff. become sick again — either because the first bout never was eliminated or due to a different strain. After two or more bouts of the infection, the recurrence rate more than triples that number. The American College of Gastroenterology has defined recurrent CDI as an “episode of CDI that occurs eight weeks after the onset of a previous episode, provided the symptoms from the previous episode resolved.” The risk of recurrence is higher among patients who: 1 Are older than 65; 2 Are on an antibiotic regimen for an unrelated illness; or 3 Have a significant underlying disorder including malignancies, chronic kidney disease, and chronic liver disease.

How much does CDI cost?

CDI costs the healthcare system an estimated at $3.2 billion, annually. As many as 20 percent of patients infected with C. diff. become sick again — either because the first bout never was eliminated or due to a different strain. After two or more bouts of the infection, the recurrence rate more than triples that number.

What is the risk of recurrence of a disease?

The risk of recurrence is higher among patients who: Are older than 65; Are on an antibiotic regimen for an unrelated illness; or. Have a significant underlying disorder including malignancies, chronic kidney disease, and chronic liver disease.

What is the assignment of a diagnosis code?

Code Assignment and Clinical Criteria: The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.

Is CDI a threat?

CDI Is a Significant Threat. Each year, healthcare treats close to 3 million episodes of CDI, an infection by an anaerobic, gram-positive, spore-forming bacillus, typically manifesting as enterocolitis with acute onset diarrhea, and possibly progressing to pseudomembranous colitis.