ICD-10-CM Billable Code

A37.91

Whooping cough, unspecified species with pneumonia

Clinical Classification Guidelines

Medical Intelligence & Overview

Whooping cough, also known as pertussis, is a highly contagious bacterial infection that primarily affects the respiratory system. When accompanied by pneumonia, it can lead to more severe health issues. The ICD-10 code A37.91 specifically refers to cases of whooping cough with pneumonia but without specification of the causative species. This condition requires prompt attention to prevent complications, especially in vulnerable populations such as infants and the elderly.

Causes & Symptoms

Clinical Causes: Bacterial infection by Bordetella pertussis, which is the most common cause. In some cases, infection may involve other Bordetella species, though these are less common.

Key Symptoms: Severe coughing fits that may produce a high-pitched 'whoop' sound during inhalation. Coughing episodes that can last for several weeks or even months. Runny nose and nasal congestion in the early stages. Sneezing and mild fever initially, which may progress to more intense symptoms. Difficulty breathing or gagging during coughing spells. Potential development of pneumonia, leading to symptoms such as chest pain, difficulty breathing, and high fever.

Diagnostic & Treatment

Diagnosis Path: Diagnosis of whooping cough with pneumonia typically involves a combination of clinical assessment and laboratory tests. A healthcare provider might perform the following:

Treatment Protocols: Management of this condition usually involves antibiotic therapy to eliminate the bacterial infection and supportive care to relieve symptoms. Specific treatments 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 A37.91 a billable ICD-10 code?
Yes, A37.91 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report A37.91?
Clinical documentation must specify the nature of Whooping cough, unspecified species with pneumonia and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

pneumonia whooping species