Gram Positive Cocci ICD-10-CM Codes

Explore ICD-10-CM codes for infections caused by gram-positive cocci in 2023. Learn about common codes, billable statuses, and gain clinical insights in this comprehensive guide.

By Olivia Sayson on Feb 29, 2024.

Fact Checked by Nate Lacson.

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Gram Positive Cocci ICD-10-CM Codes

What ICD-10 Codes are Used for Infections by Gram Positive Cocci?

Infections caused by gram-positive cocci encompass a range of bacterial infections. Here are ten commonly used ICD-10-CM codes for Gram Positive Cocci, along with brief clinical descriptions:

  • A40.9 - Streptococcal sepsis, unspecified: Used for cases of sepsis caused by Streptococcus when the specific strain or type is unspecified.
  • A49.1 - Streptococcal infection, unspecified site: Applied when the site of the Streptococcal infection is not specified.
  • B95.6 - Staphylococcus aureus as the cause of diseases classified to other chapters: Utilized when Staphylococcus aureus is identified as the cause of a disease in a category outside of Chapter 1 (Certain infectious and parasitic diseases).
  • A49.8 - Other bacterial infections of unspecified site: Used for bacterial infections caused by gram-positive cocci in an unspecified site.
  • A40.0 - Sepsis due to Staphylococcus aureus: Applied for sepsis caused by Staphylococcus aureus.
  • A40.1 - Septicemia due to other Gram-positive organisms: Utilized for septicemia caused by Gram-positive cocci other than Staphylococcus aureus.
  • A41.9 - Septicemia, unspecified: Used for septicemia when the specific organism is not identified.
  • A49.9 - Bacterial infection, unspecified: Applied when a bacterial infection is diagnosed, but the specific bacteria causing the infection is unspecified.
  • A41.0 - Streptococcal septicemia: Utilized for cases of septicemia caused by Streptococcus.
  • A49.0 - Staphylococcal infection, unspecified site: Used when the site of the Staphylococcal infection is not specified.

Which Gram Positive Cocci ICD Codes are Billable?

The billable status of the mentioned ICD-10 codes for infections by gram-positive cocci varies:

  • A40.9 - Streptococcal sepsis, unspecified: Yes, billable. Medical expenses related to Streptococcal sepsis with unspecified strain can be claimed.
  • A49.1 - Streptococcal infection, unspecified site: Yes, billable. Costs associated with Streptococcal infection at an unspecified site can be reimbursed.
  • B95.6 - Staphylococcus aureus as the cause of diseases classified to other chapters: Not applicable for billing purposes. This code is for documentation and informational purposes.
  • A49.8 - Other bacterial infections of unspecified site: Yes, billable. Medical expenses for bacterial infections caused by gram-positive cocci at an unspecified site can be claimed.
  • A40.0 - Sepsis due to Staphylococcus aureus: Yes, billable. Expenses related to sepsis caused by Staphylococcus aureus can be reimbursed.
  • A40.1 - Septicemia due to other Gram-positive organisms: Yes, billable. Medical expenses for septicemia caused by other Gram-positive organisms can be claimed.
  • A41.9 - Septicemia, unspecified: Yes, billable. Costs associated with septicemia when the specific organism is not identified can be reimbursed.
  • A49.9 - Bacterial infection, unspecified: Yes, billable. Medical expenses for a bacterial infection when the specific bacteria causing the infection is unspecified can be claimed.
  • A41.0 - Streptococcal septicemia: Yes, billable. Expenses related to septicemia caused by Streptococcus can be reimbursed.
  • A49.0 - Staphylococcal infection, unspecified site: Yes, billable. Medical expenses for Staphylococcal infection at an unspecified site can be claimed.

Clinical Information

  • Gram-Positive Cocci are a group of bacteria that appear spherical under a microscope and retain the crystal violet stain in the Gram staining process.
  • They are classified into several genera: Staphylococcus, Streptococcus, and Enterococcus.
  • These bacteria can cause many infections, including skin infections, respiratory infections, and more severe conditions like sepsis or endocarditis.
  • Identifying the specific genus and species is crucial for proper diagnosis and treatment.
  • Treatment often involves antibiotics, and the choice of antibiotic depends on the type of Gram-positive cocci and its antibiotic susceptibility.
  • In some cases, antibiotic resistance can be a concern, making selecting appropriate antibiotics more challenging.
  • Patient education should include information on infection prevention, appropriate antibiotic use, and the importance of completing antibiotic courses.
  • Infections caused by Gram-positive cocci can vary widely in severity, from mild and self-limiting to life-threatening, so prompt diagnosis and appropriate treatment are critical.
  • Healthcare practitioners should be vigilant for any signs of antibiotic resistance and make treatment adjustments as necessary to ensure the best possible outcome for the patient.

Synonyms Include

  • Gram-Positive Coccal Infections
  • Gram-Positive Bacterial Infections
  • Coccal Infections
  • Streptococcal Infections
  • Staphylococcal Infections
  • Gram-Positive Cocci ICD-10
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Commonly asked questions

Are infections caused by gram-positive cocci serious?

Infections caused by gram-positive cocci can range from mild to severe, potentially leading to serious conditions such as sepsis. The severity of the infection often depends on the specific bacteria involved and the affected site.

How are infections caused by gram-positive cocci treated?

Treatment typically involves antibiotics effective against gram-positive bacteria. The choice of antibiotics depends on the specific bacteria causing the infection, its susceptibility to drugs, and the severity of the infection.

Can gram-positive cocci infections be prevented?

Prevention involves good hygiene practices, proper wound care, and timely treatment of infections. Vaccinations, where available, can also help prevent specific gram-positive bacterial infections.

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