What is the ICD-10 code for Enterococcus infection?

The ICD-10 code for Enterococcus as the cause of diseases classified elsewhere is B95.2. Use this code when Enterococcus is identified as the causative organism.

How do you code vancomycin-resistant Enterococcus?

For vancomycin-resistant Enterococcus, use A41.81 for sepsis and add Z16.21 to indicate vancomycin resistance.

ICD-10 Coding for Enterococcus Infection(B95.2, A41.81, B96.81)

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Comprehensive guide to ICD-10 coding for Enterococcus infections, including primary codes, documentation requirements, and coding pitfalls.

Also known as:

Enterococcal InfectionEnterococcus BacteremiaVRE Infection

Related ICD-10 Code Ranges

Complete code families applicable to Enterococcus Infection

A00-B99Primary Range

Certain infectious and parasitic diseases

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
B95.2	Enterococcus as the cause of diseases classified elsewhere	Use when Enterococcus is identified as the causative organism for a condition classified elsewhere, such as UTI or pneumonia.	Positive culture for Enterococcus from a sterile site Clinical signs of infection such as fever elevated WBC
A41.81	Sepsis due to Enterococcus	Use when sepsis is confirmed to be due to Enterococcus species.	Positive blood cultures for Enterococcus Systemic inflammatory response syndrome (SIRS) criteria met

Primary ICD-10-CM Codes

Enterococcus as the cause of diseases classified elsewhere

B95.2Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Other specified bacterial agents as the cause of diseases classified elsewhereB96.81

Documentation & Coding Risks

Avoid these common issues when documenting Enterococcus Infection.

Not specifying antibiotic resistance

Impact

Clinical: Inadequate treatment planning., Regulatory: Failure to comply with coding guidelines., Financial: Potential loss of reimbursement for resistant infections.

Mitigation

Review lab results for resistance patterns., Ensure resistance is documented in the medical record.

Using B96.81 instead of B95.2 for Enterococcus

Impact

Reimbursement: Incorrect coding may lead to denied claims or reduced reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation

Use B95.2 for Enterococcus as it is specifically listed under this code.

Incorrect organism coding

Impact

Using B96.81 instead of B95.2 for Enterococcus.

Mitigation

Educate coders on the specific use of B95.2 for Enterococcus.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with B95.2.

Primary Code

B95.2

Enterococcus as the cause of diseases classified elsewhere

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ICD-10 codes4

Coding risks3

FAQs2

ICD-10 Coding for Enterococcus Infection(B95.2, A41.81, B96.81)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for Enterococcus infection?

How do you code vancomycin-resistant Enterococcus?

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