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2025 ICD-10-CM code A37.81

Whooping cough due to other Bordetella species with pneumonia.

Use additional code to identify resistance to antimicrobial drugs (Z16.-). Do not use this code for whooping cough caused by Bordetella pertussis or parapertussis with pneumonia; alternative codes exist for these scenarios.

Medical necessity for this code is established by the presence of both whooping cough caused by a Bordetella species other than pertussis or parapertussis and pneumonia. This dual diagnosis justifies the use of A37.81.

The provider is responsible for diagnosing and treating both the whooping cough and the pneumonia, including ordering necessary lab tests, prescribing antibiotics, and providing respiratory support if needed.

In simple words: Whooping cough, also known as pertussis, is a highly contagious bacterial respiratory infection. This code is used when a person has whooping cough caused by a less common type of Bordetella bacteria and also develops pneumonia, a lung infection.

This code describes a patient diagnosed with whooping cough (pertussis) caused by a Bordetella species other than Bordetella pertussis or Bordetella parapertussis, and the patient also has pneumonia as a complication.

Example 1: A 3-year-old child presents with severe coughing spells followed by a "whooping" sound during inhalation. A chest X-ray reveals pneumonia, and lab tests confirm infection with Bordetella bronchiseptica. Code A37.81 is assigned., An adult patient with a history of COPD develops a persistent cough and difficulty breathing. After testing, they are diagnosed with pneumonia and whooping cough caused by Bordetella holmesii. Code A37.81 is assigned., An infant presents with apnea and a cough that doesn't include the characteristic "whoop." Further testing reveals pneumonia and Bordetella parapertussis. Because the bacterium is not a species “other than” pertussis or parapertussis, this code does not apply.

Documentation should include: signs and symptoms, such as coughing, whooping sounds, difficulty breathing, fever, and sputum production; laboratory results confirming the Bordetella species (other than pertussis or parapertussis); and imaging studies (e.g., chest X-ray) showing evidence of pneumonia.

** For accurate coding and billing, always distinguish the infecting Bordetella species. Refer to iFrameAI for most up-to-date information.

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