Coding, Classification & Reimbursement

Multidrug-resistant Klebsiella Urinary Tract Infection

  • 1.  Multidrug-resistant Klebsiella Urinary Tract Infection

    Posted 7 days ago
    Hello,

    I'm reviewing a SNF record. Multidrug-resistant Klebsiella Urinary Tract Infection is documented in the patient's record.

    I know that I need to code:B96.1 Klebsiella pneumoniae (K. pneumoniae) as the cause of diseases classified elsewhere

    Do I need a Z code, too?

    Thank you.

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    Katherine Valeri, RHIT

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  • 2.  RE: Multidrug-resistant Klebsiella Urinary Tract Infection

    Posted 7 days ago
    Hello!

    I am glad you asked this question.  It has been a while since I reviewed the Official Guidelines on this subject.  The Guidelines for Chapter 1 state, "Many bacterial infections are resistant to current antibiotics. It is necessary to identify all infections documented as antibiotic resistant. Assign a code from category Z16, Resistance to antimicrobial drugs, following the infection code only if the infection code does not identify drug resistance.

    In the case of MRSA, and a few others, assign only one code.  Otherwise, when documented, always assign the additional code for drug resistance.

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    Lawrence Barr
    Coder 3
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