ICD-10-CM Billable Code

P36.1

Sepsis of newborn due to other and unspecified streptococci

Clinical Classification Guidelines

Medical Intelligence & Overview

Sepsis of the newborn due to other and unspecified streptococci, coded as P36.1 in ICD-10, is a serious medical condition affecting infants. It occurs when bacteria from the streptococcus family invade the bloodstream or tissues, leading to widespread infection. Newborns are particularly vulnerable due to their immature immune systems, and timely diagnosis and treatment are crucial to improve health outcomes.

Causes & Symptoms

Clinical Causes: Transmission from mother during childbirth (maternal colonization with streptococci) Hospital-acquired infections, especially in neonatal intensive care units Certain community-acquired infections where streptococci bacteria spread from external sources Invasive procedures or wounds that permit bacteria entry

Key Symptoms: Fever or hypothermia (low body temperature) Lethargy or irritability Poor feeding or refusal to eat Breathing difficulties like rapid breathing or apnea Vomiting or diarrhea Jaundice (yellowing of skin and eyes) Skin redness, swelling, or discoloration Seizures in severe cases Decreased activity or limpness

Diagnostic & Treatment

Diagnosis Path: Doctors evaluate a newborn suspected of having sepsis through several methods, including:

Treatment Protocols: Managing sepsis caused by streptococci typically involves:

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 P36.1 a billable ICD-10 code?
Yes, P36.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report P36.1?
Clinical documentation must specify the nature of Sepsis of newborn due to other and unspecified streptococci and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

newborn sepsis streptococci