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ICD-10 Coding for Proteus mirabilis Infection(B96.4, A41.5, A41.89)

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Learn about the ICD-10 coding for Proteus mirabilis infections, including documentation requirements and common coding pitfalls.

Also known as:
P. mirabilis infectionProteus UTIProteus sepsis
Related ICD-10 Code Ranges

Complete code families applicable to Proteus mirabilis 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

CodeDescription
B96.4Proteus (mirabilis) as the cause of diseases classified elsewhere
N39.0Urinary tract infection, site not specified
A41.89Other specified sepsis
Primary ICD-10-CM Codes
Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere
B96.4Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Pseudomonas (aeruginosa) as the cause of diseases classified elsewhereB96.5
Acute pyelonephritisN10

Use when there is kidney involvement with infection.

Sepsis due to gram-negative organismsA41.5

Use when gram-negative sepsis is documented without specific organism.

Documentation & Coding Risks

Avoid these common issues when documenting Proteus mirabilis Infection.

Failing to document the specific organism

Impact

Clinical: May lead to inappropriate antibiotic selection., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials due to lack of specificity.

Mitigation

Ensure lab results are reviewed and documented., Educate staff on the importance of organism specification.

Using B96.4 as a primary diagnosis code

Impact

Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data representation of infection etiology.

Mitigation

Always use B96.4 as a secondary code with a primary infection code.

Not linking the organism to the infection site

Impact

Reimbursement: Potential for incorrect DRG assignment., Compliance: Fails to meet coding guidelines for specificity., Data Quality: Incomplete clinical data for infection tracking.

Mitigation

Ensure documentation specifies the infection site and organism.

Inaccurate organism documentation

Impact

Failure to document the specific organism can lead to audit issues.

Mitigation

Implement regular training on documentation requirements.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with B96.4.