what is the icd 10 code for organism resistant to antibiotics

by Cristal Heathcote 6 min read

Resistance to unspecified antibiotic
Z16. 20 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 Z16. 20 became effective on October 1, 2021.

What is the ICD 10 code for multiple antibiotic resistance?

2018/2019 ICD-10-CM Diagnosis Code Z16.24. Resistance to multiple antibiotics. Z16.24 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

How do you code drug resistance in a hospital?

While the codes for medication resistance don’t impact the DRG, they are usually assigned in high-dollar cases with long lengths of stay. Coders should do the following: Code the infection and type of bacteria. Assign a Z code to describe the resistance (e.g., resistance to antimicrobial drugs—Z16.10-Z16.39).

What comes first infection or drug resistance?

The type of infection is coded first, followed by a code for the organism—unless the infection code itself describes the organism (e.g. code J13, pneumococcal pneumonia)—and then the drug resistance code. In the case of MRSA, a drug resistance code is not assigned because the infection code identifies the antibiotic.

What is the CDC’s view on Antimicrobial resistance?

The CDC considers antimicrobial resistance “one of the most serious health threats” currently facing the United States, according to its website, which frequently updates the list of superbugs for ongoing monitoring and surveillance (“ Antibiotic/Antimicrobial Resistance: Biggest Threats ,” CDC.gov).

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What is the code for antibiotic resistance?

Take a look specifically at the code Z16. 20, Resistance to unspecified antibiotic, and also take a look at code Z16. 29, Resistance to other single specified antibiotic.

What is the ICD-10 code for multidrug resistant?

Resistance to multiple antimicrobial drugs The 2022 edition of ICD-10-CM Z16. 35 became effective on October 1, 2021. This is the American ICD-10-CM version of Z16.

What is the ICD-10 code for antibiotics?

ICD-10 code Z79. 2 for Long term (current) use of antibiotics is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the correct code for resistance to amoxicillin?

ICD-10-CM Code for Resistance to penicillins Z16. 11.

What is diagnosis code Z76 82?

Awaiting organ transplant statusICD-10 code Z76. 82 for Awaiting organ transplant status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the diagnosis for ICD-10 code r50 9?

9: Fever, unspecified.

What is diagnosis code Z51 81?

ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for medication management?

ICD-10-PCS GZ3ZZZZ is a specific/billable code that can be used to indicate a procedure.

What is the ICD-10 code for rule out diagnosis?

In such case, if the rule/condition is confirmed in the final impression we can code it as Primary dx, but if the rule/out condition is not confirmed then we have to report suspected or rule/out diagnosis ICD 10 code Z03. 89 as primary dx. For Newborn, you can use category Z05 code for any rule out condition.

What is the ICD-10 code for ampicillin resistance?

Z16. 11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for allergy to penicillin?

ICD-10 code: Z88. 0 Personal history of allergy to penicillin.

What does CRE stand for in medical terms?

CRE stands for carbapenem-resistant Enterobacterales. Enterobacterales are an order of germs, specifically bacteria. Many different types of Enterobacterales can develop resistance, including Klebsiella pneumoniae and Escherichia coli (E. coli).

How do you get carbapenem resistant Enterobacteriaceae?

CRE can be spread from person to person through contact with an infected or colonised person. This is either directly from the hands of another person or indirectly from environmental surfaces or medical equipment that have become contaminated. It is not spread through the air or by coughing or sneezing.

Which of the following Z codes can only be used for a principal diagnosis?

A code from categories Z03-Z04 can be assigned only as the principal diagnosis or reason for encounter, never as a secondary diagnosis.

Is imipenem a carbapenem?

Imipenem and meropenem are carbapenem antimicrobial agents used to treat a variety of serious infections when an organism is resistant to the primary agent of choice.

What is the ICD-10 code for multidrug resistant Pseudomonas?

Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere. B96. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the carrier status of MRSA?

MRSA is the onlyorganism that has a specific code identifying both the bacteria and the antibiotic it is resistant to (B95.62—MRSA infections as the cause of diseases classified elsewhere).

Why are superbugs immunocompromised?

To further complicate such cases, most patients who contract superbugs are already immunocompromised due to cancer, long-term medication protocols, extended inpatient admissions, or other factors. The progression of infection in these cases must be carefully noted and coded to ensure proper reimbursement. Here are three specific guidelines to follow when coding antibiotic-resistant cases.

Why is a coding query not applicable?

Because resistance codes do not impact the DRG , a coding query is not applicable. However, it is critical to properly identify and code antibiotic-resistant cases for national reporting and statistics.

What bacteria are considered superbugs?

Bacteria such as enterococcus, staphylococcus, klebsiella, acinetobacter, pseudomonas, and enterobacter wreak havoc on hospital care teams and bottomline budgets.

What documentation should a coding program review?

Review all supporting documentation. Coders are also advised to consider all supporting documentation, including culture reports, physician progress notes, medication administration records, and any other ancillary testing used to identify resistance.

What should a coder do?

Coders should do the following: Code the infection and type of bacteria. Assign a Z code to describe the resistance (e.g., resistance to antimicrobial drugs—Z16.10-Z16.39). If the patient has been on long-term antibiotics, this should also be coded.

How many antibiotics were tested in Nevada?

A woman in her 70s died from an infection resistant to every known antibiotic. More than 26 antibiotics were tested during her one-month hospitalization.

Why are antibiotics important?

Antibiotics are powerful medicines used to treat diseases caused by bacteria. They prevent the reproduction of bacteria or they kill the bacteria. Antibiotics have saved lives, and proved successful in treating chronic diseases and infections that can occur in patients receiving chemotherapy treatments or in people who have complex surgeries. However, overuse of antibiotics has dissipated their benefits.

What is the challenge of treating antibiotic resistance?

Treating medication resistance is a formidable challenge for hospitals and practitioners.In addition to costly patient isolation methods, coding antibiotic-resistant infections can significantly impact revenue, especially if patients get these infections during a hospital stay (www.hfma.org). Healthcare providers need to correctly diagnose the infection and report it using the correct codes.

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