2025 ICD-10-CM code G00.9
(Active) Effective Date: N/A Diseases of the nervous system - Inflammatory diseases of the central nervous system 6 Feed
Bacterial meningitis, unspecified.
Medical necessity for this code is established by the clinical presentation consistent with bacterial meningitis.The provider's judgment, based on the patient's symptoms and the results of available diagnostic tests, is key in determining the need for treatment for suspected bacterial meningitis, even when a specific bacterium has not been identified.
Clinicians should document the signs, symptoms, and diagnostic findings that led to the diagnosis of unspecified bacterial meningitis.This includes information regarding fever, headache, neck stiffness, and any other neurological symptoms. If any tests such as blood cultures or CSF analysis were done, the results should be documented, even if they didn't identify a specific bacterium.The treatment provided, including specific antibiotics, should also be documented.It is also important to describe the patient's response to treatment.
In simple words: Bacterial meningitis is an infection that causes inflammation of the membranes surrounding the brain and spinal cord. This particular code is used when the specific type of bacteria causing the infection hasn't been identified.
Unspecified bacterial meningitis refers to a medical condition where a patient suffers from inflammation of the protective membranes (meninges) around the brain and spinal cord, where the specific bacterial cause is not documented.It includes conditions such as purulent, pyogenic, and suppurative meningitis not otherwise specified, and unspecified meningitis due to gram-negative bacteria.
Example 1: A patient presents with sudden onset of high fever, severe headache, and neck stiffness. Lumbar puncture reveals signs of meningitis, but cultures are negative for specific bacteria.Given the clinical presentation, the physician diagnoses unspecified bacterial meningitis and starts empiric antibiotic treatment., A neonate develops signs and symptoms of meningitis shortly after birth.Initial tests do not identify a specific bacterial cause, so the diagnosis of unspecified bacterial meningitis is made while awaiting further test results., A patient with a recent head injury develops signs of meningitis.Cultures are inconclusive, and the physician documents unspecified bacterial meningitis due to the possibility of a bacterial infection related to the injury.
Documentation should include signs and symptoms such as fever, headache, stiff neck, and altered mental status.Results of diagnostic tests like lumbar puncture and blood cultures are crucial, even if they don't identify a specific bacteria.The clinical rationale for suspecting bacterial meningitis despite lack of a confirmed pathogen should be documented. Details of the treatment provided, including antibiotic selection, should also be recorded.
- Specialties:Infectious Disease, Neurology, Internal Medicine, Emergency Medicine, Pediatrics
- Place of Service:Inpatient Hospital, Emergency Room - Hospital