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2025 ICD-10-CM code P36.1

Sepsis of newborn due to other and unspecified streptococci.

Use additional codes to identify any associated conditions, such as severe sepsis (R65.2-) and specific organ dysfunction. Do not code the underlying organism separately if it is included in the code description (e.g., B95.-).Code Z38.0 (Single liveborn infant, delivered vaginally) or Z38.1 (Single liveborn infant, delivered by Cesarean)

Medical necessity is established by the presence of clinical signs and symptoms of sepsis in the newborn period along with laboratory confirmation of the bacterial infection.

Diagnosing and treating the newborn with sepsis, including administering antibiotics, monitoring vital signs, and providing supportive care. It also includes determining the causative agent through cultures.

In simple words: A newborn baby has a blood infection caused by a type of bacteria called streptococcus.

This code describes a systemic infection in a newborn caused by streptococcal bacteria other than Group B Streptococcus.It includes infections acquired in utero or during birth.

Example 1: A newborn infant develops signs of infection, such as fever, lethargy, and difficulty feeding, shortly after birth. Blood cultures reveal the presence of Streptococcus pneumoniae. The diagnosis is sepsis of the newborn due to other streptococci (P36.1)., A baby born prematurely at 28 weeks gestation develops respiratory distress and signs of systemic infection on day 3 of life. Blood cultures are positive for Streptococcus viridans. The diagnosis is sepsis of the newborn due to other streptococci (P36.1)., A term infant is born via vaginal delivery.The mother's group B streptococcus (GBS) status is unknown. At 12 hours of life, the infant demonstrates increased temperature, lethargy, and poor feeding. Laboratory tests indicate sepsis. The blood culture isolates Streptococcus agalactiae (Group B Strep).Although GBS is isolated, code P36.1 Sepsis of newborn due to other and unspecified streptococci is assigned per ICD-10-CM guidelines, since P36.0 is specifically for Group B streptococcal sepsis of newborn.

Documentation should include signs and symptoms of sepsis, such as fever, lethargy, poor feeding, and respiratory distress. Laboratory results confirming the presence of streptococcal bacteria other than Group B streptococcus in the blood culture are essential for accurate coding.

** This code is to be used only on the newborn's record, not the mother's record.If the sepsis is documented as congenital, use P36 category codes.Distinguish between congenital and community-acquired sepsis.If the type of bacteria causing sepsis is unknown, use P36.9.

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