ICD-10-CM Billable Code

B95.6

Staphylococcus aureus as the cause of diseases classified elsewhere

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 Code B95.6 refers to infections caused by the bacterium Staphylococcus aureus that are identified as the underlying cause of other diseases. Staphylococcus aureus is a common type of bacteria that can cause a range of health issues, from minor skin infections to more severe conditions like pneumonia and bloodstream infections. This code helps healthcare providers document cases where this bacterium is the primary agent responsible for various infectious diseases.

Causes & Symptoms

Clinical Causes: Direct contact with infected individuals or contaminated surfaces Colonization of the bacteria on the skin or in the nasal passages Compromised immune system, making one more susceptible to infection Breaks in the skin or mucous membranes, allowing bacteria entry Use of invasive medical devices like catheters or artificial joints

Key Symptoms: Localized skin infections such as boils, abscesses, or impetigo Fever and chills indicating systemic infection Redness, swelling, and warmth at the site of infection Pain or tenderness around the affected area In more severe cases, symptoms of pneumonia like cough, difficulty breathing, and chest pain Signs of bloodstream infections including low blood pressure, rapid heartbeat, and confusion

Diagnostic & Treatment

Diagnosis Path: Diagnosis often involves clinical evaluation of symptoms and physical examination. Laboratory tests are crucial, including:

Treatment Protocols: Treatment strategies aim to eradicate the infection and may include:

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 B95.6 a billable ICD-10 code?
Yes, B95.6 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report B95.6?
Clinical documentation must specify the nature of Staphylococcus aureus as the cause of diseases classified elsewhere and any associated comorbidities for accurate reporting.

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