ICD-10-CM Billable Code

Z86.14

Personal history of Methicillin resistant Staphylococcus aureus infection

Clinical Classification Guidelines

Inclusion Terms

  • Personal history of MRSA infection

Medical Intelligence & Overview

ICD-10 code Z86.14 refers to a record of a person's previous infection with Methicillin-Resistant Staphylococcus Aureus (MRSA). This notation is used by healthcare providers to document that an individual has a history of having been infected with MRSA, a type of bacteria that is resistant to many antibiotics. Recognizing this history is important for ongoing medical care, as it may influence future treatment and infection control measures.

Causes & Symptoms

Clinical Causes: Previous exposure to MRSA-infected individuals or environments Healthcare-associated infections, including surgery, hospital stays, or visits to healthcare facilities Use of invasive devices, such as catheters or surgical implants Compromised immune system making it easier to acquire infections Living in close quarters or crowded environments where bacteria can spread easily Poor hygiene or skin injuries that can serve as entry points for bacteria

Key Symptoms: Often, individuals with a history of MRSA infection may not have symptoms unless reinfected Possible skin infections presenting as red, swollen, painful bumps or abscesses Fever and chills if the infection becomes systemic Localized symptoms depending on the site of previous infection Persistent or recurring wounds that are slow to heal General feeling of malaise or fatigue during active infection

Diagnostic & Treatment

Diagnosis Path: Diagnosis of a prior MRSA infection is primarily based on medical history and previous medical records indicating past infections. If MRSA infection is suspected again, laboratory testing such as bacterial culture and sensitivity tests are used to confirm the presence of MRSA and determine appropriate antibiotics. Healthcare providers may also interpret an individual’s history of MRSA in relation to current symptoms, physical examinations, and previous treatment outcomes.

Treatment Protocols: While a history of MRSA infection does not require treatment itself, managing the risk of future infections involves maintaining good hygiene, wound care, and possibly prophylactic measures if advised by a healthcare professional. If reinfection occurs, targeted antibiotic therapy based on sensitivity testing is essential. In some cases, decolonization protocols, including topical or oral antibiotics, are recommended to reduce bacterial colonization and lower the risk of recurrent infections.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is Z86.14 a billable ICD-10 code?
Yes, Z86.14 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Z86.14?
Clinical documentation must specify the nature of Personal history of Methicillin resistant Staphylococcus aureus infection and any associated comorbidities for accurate reporting.

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