2025 ICD-10-CM code A41.1
(Active) Effective Date: N/A Sepsis - Other bacterial diseases Certain infectious and parasitic diseases Feed
Sepsis due to other specified staphylococcus.
Medical necessity is established by the presence of clinical signs and symptoms of sepsis along with laboratory confirmation of the causative staphylococcus infection. The documentation should support the severity of the infection and the need for treatment.
Clinicians should diagnose based on patient symptoms (fever, low blood pressure, difficulty breathing, rapid heart rate, altered mental state, skin changes), history, and physical findings. Laboratory tests, including blood cultures, are essential for confirming the presence of the bacteria and identifying the specific strain. Treatment typically involves antibiotics (oral or intravenous), sometimes combined with antitoxins. Supportive care may include oxygen and intravenous fluids.Surgery might be necessary for abscesses or localized infections.Screening for staphylococcus prior to surgery can help prevent this condition.
In simple words: A serious infection throughout the body caused by a specific type of staph bacteria other than the most common type (Staphylococcus aureus).
Sepsis due to a staphylococcus bacteria that is not Staphylococcus aureus.This includes coagulase-negative staphylococci and other specified types.
Example 1: A patient with a prosthetic hip joint develops fever, chills, and hypotension. Blood cultures reveal coagulase-negative staphylococcus. The patient is diagnosed with sepsis due to other specified staphylococcus (A41.1)., A newborn infant develops lethargy, poor feeding, and respiratory distress. Blood cultures grow a staphylococcus species other than S. aureus.The infant is diagnosed with sepsis due to other specified staphylococcus (A41.1)., An immunocompromised patient undergoing chemotherapy develops fever and altered mental status. Blood cultures are positive for a specific, non-aureus staphylococcus strain. They are diagnosed with sepsis due to other specified staphylococcus (A41.1).
Documentation should include the type of staphylococcus identified, evidence of systemic infection (e.g., fever, hypotension, organ dysfunction), and any related conditions such as the presence of a prosthetic device or a recent surgical procedure.Positive blood culture results identifying the specific organism are crucial.
** A41.1 is distinct from sepsis due to Staphylococcus aureus (A41.0). Ensure accurate identification of the staphylococcus species.
- Payment Status: Active
- Specialties:Infectious Disease, Critical Care Medicine, Internal Medicine, Pediatrics, Neonatology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office