2025 ICD-10-CM code P36
(Valid) Effective Date: N/A Revision Date: N/A Certain conditions originating in the perinatal period - Infections specific to the perinatal period XVI Certain conditions originating in the perinatal period Feed
Bacterial sepsis of newborn. Includes: congenital sepsis. Use additional code(s), if applicable, to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s).
Medical necessity for P36 is established by the presence of clinical and laboratory findings consistent with bacterial sepsis in a newborn.The documentation must support the diagnosis and the need for treatment.
The diagnosis and treatment of bacterial sepsis in newborns is typically managed by neonatologists and/or pediatricians specializing in infectious diseases.
- XVI Certain conditions originating in the perinatal period
- P35-P39 Infections specific to the perinatal period
In simple words: A newborn baby has a serious bloodstream infection.
Bacterial sepsis of newborn. Includes congenital sepsis. Use additional code(s) if applicable to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s).
Example 1: A newborn infant exhibits signs of sepsis, such as fever, lethargy, and difficulty feeding. Blood cultures confirm the presence of bacterial infection., A premature infant develops respiratory distress and other symptoms consistent with sepsis shortly after birth. Laboratory tests reveal bacterial infection., A newborn baby is diagnosed with congenital sepsis due to a bacterial infection contracted from the mother during delivery.The baby requires intensive care and treatment with antibiotics.
Documentation should include signs and symptoms of sepsis, laboratory results (e.g. blood cultures), and details about the infection source if known.Additional codes should be used to document severe sepsis or associated organ dysfunction, if present.
** As of December 1st, 2024, this information is current. Coding guidelines and medical practices can change, so it's essential to refer to updated resources for the most accurate information.
- Specialties:Neonatology, Pediatrics, Pediatric Infectious Disease
- Place of Service:Inpatient Hospital, Birthing Center