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2025 ICD-10-CM code A40.1

Sepsis due to Streptococcus, group B.

Use additional code to identify resistance to antimicrobial drugs (Z16.-).Excludes neonatal sepsis (P36.0-P36.1), puerperal sepsis (O85), and other specified streptococcal sepsis (A40.-).

Medical necessity for treatment is established by the presence of clinical signs and symptoms of sepsis, along with laboratory confirmation of GBS infection.Prompt treatment is crucial to prevent serious complications and potential mortality.

Physicians need to quickly diagnose and treat GBS sepsis in newborns. This involves blood cultures, antibiotic administration, and supportive care.For pregnant women, preventative measures like screening and antibiotics during labor are crucial.

In simple words: Sepsis due to group B strep is a serious blood infection caused by Streptococcus agalactiae bacteria. It mainly affects newborns and can quickly become life-threatening. Common symptoms include fever, chills, rapid breathing, and changes in heart rate. Prompt treatment with antibiotics is essential.

A potentially life-threatening complication of an infection caused when group B streptococcal bacteria enter the bloodstream. This can occur through direct contact (breaks in the skin, operative incisions, or catheterization) or from another infection site (lungs, urinary tract, intestines, or genital organs).

Example 1: A newborn infant develops fever, difficulty breathing, and lethargy within the first 24 hours of life. Blood cultures confirm Group B Streptococcus., A patient with a compromised immune system develops sepsis following a surgical procedure. Cultures identify Streptococcus agalactiae as the causative agent., A pregnant woman tests positive for Group B Strep during prenatal screening. Intravenous antibiotics are administered during labor to prevent neonatal sepsis.

Diagnosis requires positive blood cultures for Streptococcus agalactiae.Supporting documentation may include symptoms (fever, chills, respiratory distress, etc.), laboratory findings (WBC count), and imaging results (if any).In neonates, maternal GBS status should be documented.

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