2025 ICD-10-CM code P36.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Infections - Infections specific to the perinatal period Certain conditions originating in the perinatal period (P00-P96) Feed
Sepsis of newborn due to group B streptococcus.
Medical necessity for P36.0 is established by the presence of clinical signs and symptoms consistent with sepsis in a newborn, laboratory confirmation of group B Streptococcus infection, and the need for immediate and intensive treatment to prevent life-threatening complications.
The clinical responsibility includes immediate diagnosis and treatment of neonatal sepsis, including blood cultures to identify the causative organism, administration of antibiotics, supportive care (e.g., fluid management, respiratory support), and monitoring for organ dysfunction.Close monitoring of the newborn's vital signs and clinical status is crucial.
In simple words: This code means a newborn baby has a serious infection in their blood caused by a type of bacteria called group B Streptococcus. This infection can happen during birth or shortly after.It's a serious condition that requires immediate medical attention.
This code classifies sepsis in a newborn caused by group B Streptococcus.Sepsis is a life-threatening condition caused by the body's overwhelming response to an infection.This specific code indicates the infection is due to group B Streptococcus bacteria, often acquired during childbirth or shortly after birth. Additional codes may be necessary to specify severe sepsis and associated organ dysfunction.
Example 1: A newborn presents with lethargy, poor feeding, respiratory distress, and temperature instability within the first 24 hours of life. Blood cultures reveal group B Streptococcus. Code P36.0 is assigned along with codes for respiratory distress and other organ dysfunctions if present., A full-term infant is delivered vaginally. During the first few days of life, he develops fever, tachycardia, and hypotonia.Blood cultures are positive for group B Streptococcus. P36.0 and codes describing the other symptoms are used., A preterm infant born at 30 weeks gestation is admitted to the NICU. On day 3 of life, he develops signs of sepsis (fever, tachypnea, and leukocytosis). Group B Streptococcus is identified in the blood cultures. P36.0, plus codes that describe the premature birth and any organ dysfunctions, are applied.
Complete maternal and neonatal history, including prenatal care, mode of delivery, signs and symptoms of sepsis (e.g., fever, lethargy, poor feeding, respiratory distress), complete blood count (CBC) with differential, blood cultures with Gram stain and culture results, and results of any other relevant laboratory tests.Documentation of antibiotic administration and response to treatment should also be included.
** This code is highly dependent on laboratory confirmation of group B Streptococcus.The absence of bacterial identification from culture may necessitate using a different code.
- Payment Status: Active
- Specialties:Neonatology, Infectious Disease
- Place of Service:Inpatient Hospital, NICU