What is the ICD-10 code for MRSA?

The ICD-10 code for MRSA as a causative agent is B95.62, used when MRSA is identified as the cause of an infection classified elsewhere.

How do you code MRSA pneumonia?

MRSA pneumonia is coded as J15.212, which is a primary code for pneumonia due to MRSA.

Can B95.62 be used as a principal diagnosis?

No, B95.62 cannot be used as a principal diagnosis; it must be sequenced after the infection site code.

ICD-10 Coding for MRSA(B95.62, A41.02, A41.9)

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Learn about MRSA coding with ICD-10, including primary and secondary codes, documentation requirements, and common pitfalls.

Also known as:

Methicillin-resistant Staphylococcus aureusStaph infection resistant to methicillin

Related ICD-10 Code Ranges

Complete code families applicable to MRSA

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
B95.62	Methicillin-resistant Staphylococcus aureus as the cause of diseases classified elsewhere	Use when MRSA is identified as the causative agent of an infection classified elsewhere.	Lab-confirmed MRSA culture Documentation of infection site
A41.02	Sepsis due to Methicillin-resistant Staphylococcus aureus	Use when sepsis is confirmed to be due to MRSA.	Positive blood culture for MRSA Clinical signs of sepsis
J15.212	Pneumonia due to Methicillin-resistant Staphylococcus aureus	Use when pneumonia is confirmed to be due to MRSA.	Sputum culture positive for MRSA Radiological evidence of pneumonia

Primary ICD-10-CM Codes

Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere

B95.62Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Methicillin-susceptible Staphylococcus aureus as the cause of diseases classified elsewhereB95.61

Use when the infection is due to methicillin-susceptible Staphylococcus aureus.

Sepsis, unspecified organismA41.9

Use when the causative organism is not specified.

Unspecified bacterial pneumoniaJ15.9

Use when the bacterial cause is not specified.

Documentation & Coding Risks

Avoid these common issues when documenting MRSA.

Omitting the infection site code

Impact

Clinical: Incomplete clinical picture, Regulatory: Non-compliance with coding guidelines, Financial: Potential claim denials

Mitigation

Always document and code the infection site first, Review coding guidelines regularly

Using B95.62 as the principal diagnosis

Impact

Reimbursement: Claims may be denied if B95.62 is used as the principal diagnosis., Compliance: Non-compliance with ICD-10 sequencing rules., Data Quality: Inaccurate representation of the patient's condition.

Mitigation

Always sequence the infection site code before B95.62.

Using Z16.11 with MRSA codes

Impact

Reimbursement: May lead to claim rejections due to redundancy., Compliance: Violates ICD-10 coding guidelines., Data Quality: Redundant coding affecting data accuracy.

Mitigation

Do not use Z16.11 with MRSA codes as resistance is inherent.

Incorrect sequencing of MRSA codes

Impact

Using B95.62 as the principal diagnosis can trigger audits.

Mitigation

Educate staff on proper sequencing rules.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with B95.62.

Primary Code

B95.62

Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere

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ICD-10 codes8

Coding risks4

FAQs3

ICD-10 Coding for MRSA(B95.62, A41.02, A41.9)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for MRSA?

How do you code MRSA pneumonia?

Can B95.62 be used as a principal diagnosis?

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