2025 ICD-10-CM code B95.62
(Active) Effective Date: N/A Infectious and parasitic diseases - Bacterial and viral infectious agents Certain infectious and parasitic diseases Feed
Methicillin-resistant Staphylococcus aureus (MRSA) infection as the cause of diseases classified elsewhere.
Medical necessity for using B95.62 relies on the medical necessity of treating the underlying condition caused by the MRSA. The presence of the MRSA infection itself does not establish medical necessity.The documentation should support the need for treatment and services related to the MRSA infection.
Clinicians should identify the presence of MRSA infection through appropriate diagnostic testing. They should then determine the specific disease or condition caused by the MRSA infection and use the appropriate ICD-10-CM code to reflect that diagnosis. The B95.62 code should only be used as a secondary code, following the code for the primary condition.
In simple words: This code indicates that a person has an infection caused by MRSA bacteria, which is resistant to certain antibiotics. It's used alongside another code that specifies the disease the MRSA infection is causing.It's important to remember that MRSA is usually spread through direct contact with contaminated surfaces or objects.
This code identifies a methicillin-resistant Staphylococcus aureus (MRSA) bacterial infection as the cause of a disease classified elsewhere.MRSA infections are often acquired in healthcare settings or through direct contact with contaminated items. Symptoms, diagnosis, and treatment vary depending on the specific disease caused by the MRSA infection. This code is used as a secondary code and should be used in conjunction with other code(s) that identify the primary disease(s) or condition(s).
Example 1: A patient is admitted with pneumonia and cultures identify MRSA. The primary code would be for the pneumonia (e.g., J18.9 Pneumonia, unspecified organism), followed by B95.62 to indicate the MRSA infection., A patient with a post-surgical wound infection grows MRSA in culture. The primary code would be for the surgical site infection (e.g., T81.4XXA Postprocedural wound infection, initial encounter), with B95.62 added to specify the causative organism as MRSA., A patient has a urinary tract infection (UTI) caused by MRSA. The primary code would be for the UTI (e.g., N39.0 Infection of unspecified urinary tract), and B95.62 would be added to indicate the MRSA infection.
Documentation should clearly indicate the presence of MRSA infection, confirmed by laboratory testing (e.g., culture). The documentation must also clearly link the MRSA infection to the primary diagnosed condition.The type of infection, the site of the infection, and the method of diagnosis should all be documented.
** For accurate reporting and reimbursement, it is crucial to sequence the codes correctly with the primary diagnosis listed first, followed by B95.62 as a secondary code. Always consult the official ICD-10-CM coding guidelines for the most up-to-date information.
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, General Practice
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Emergency Room - Hospital, Physician's Office, Skilled Nursing Facility, Nursing Facility