ICD 10 Coding Alert

Question: Our patient has an implanted port with a localized Staphylococcus aureus infection that is resistant to penicillin and bacitracin. How should we code for her?

California

Answer: Currently, you would list the following codes for this patient:

• 999.33 (Local infection due to central venous catheter);
  
• 041.12 (Methicillin resistant Staphylococcus aureus); and
  
• V09.81 (Infection with microorganisms resistant to other specified drugs with resistance to multiple drugs).
  

To find the right complication code for this patient, look under “Infection, “central-line associated” in the alphabetic index of your coding manual.

Follow up with 041.12 to describe the infection further and V09.81 to indicate that the infection is resistant to multiple drugs.

In ICD-10, you would report the following codes for this patient:

• T80.212- (Local infection due to central venous catheter);
  
• B95.62 (Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere); and
  
• Z16.24 (Resistance to multiple antibiotics).