Resolved Bacterial and Viral Infectious Agents (B95-B97)

[ViktoriyaR_11646]

Hello,

In my ICD 10-CM Expert for Hospitals coding manual codes in category B95 - B97 are marked as "Unacceptable Principal Dx (Inpatient Only)". Can these codes be coded as primary for outpatient/clinic setting?

Thank you,

 

[Darcy]

Hello,

In my ICD 10-CM Expert for Hospitals coding manual codes in category B95 - B97 are marked as "Unacceptable Principal Dx (Inpatient Only)". Can these codes be coded as primary for outpatient/clinic setting?

Thank you,

Yes, by all means.

 

[ViktoriyaR_11646]

Right before codes (B95-B97) there is a "NOTE: These categories are provided for use as supplementary or additional codes to identify the infectious agent(s)in diseases classified elsewhere." So this would apply only for inpatient setting only?

 

[Darcy]

Right before codes (B95-B97) there is a "NOTE: These categories are provided for use as supplementary or additional codes to identify the infectious agent(s)in diseases classified elsewhere." So this would apply only for inpatient setting only?

No. That statement means diseases coded elsewhere in the manual. Not the physical setting.

Level

Guidelines

B95

Section: 1;C.1.b b. Infectious agents as the cause of diseases classified to other chapters Certain infections are classified in chapters other than Chapter 1 and no organism is identified as part of the infection code. In these instances, it is necessary to use an additional code from Chapter 1 to identify the organism. A code from category B95, Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified to other chapters, B96, Other bacterial agents as the cause of diseases classified to other chapters, or B97, Viral agents as the cause of diseases classified to other chapters, is to be used as an additional code to identify the organism. An instructional note will be found at the infection code advising that an additional organism code is required.