2022 ICD-10-CM Code B96.1
Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere
Code Classification
B96.1 is a billable diagnosis code used to specify a medical diagnosis of klebsiella pneumoniae [k. pneumoniae] as the cause of diseases classified elsewhere. The code B96.1 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code B96.1 might also be used to specify conditions or terms like coliform urinary tract infection or urinary tract infection caused by klebsiella.
The code B96.1 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Entries in the Index to Diseases and Injuries with references to B96.1
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code B96.1 are found in the index:
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Coliform urinary tract infection
- Urinary tract infection caused by Klebsiella
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code B96.1 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | 18 | 2.2295 |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | 18 | 1.0584 |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | 18 | 0.726 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert B96.1 to ICD-9 Code
- 041.3 - Klebsiella pneumoniae
Information for Patients
Bacterial Infections
Bacteria are living things that have only one cell. Under a microscope, they look like balls, rods, or spirals. They are so small that a line of 1,000 could fit across a pencil eraser. Most bacteria won't hurt you - less than 1% of the different types make people sick. Many are helpful. Some bacteria help to digest food, destroy disease-causing cells, and give the body needed vitamins. Bacteria are also used in making healthy foods like yogurt and cheese.
But infectious bacteria can make you ill. They reproduce quickly in your body. Many give off chemicals called toxins, which can damage tissue and make you sick. Examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.
Antibiotics are the usual treatment. When you take antibiotics, follow the directions carefully. Each time you take antibiotics, you increase the chances that bacteria in your body will learn to resist them causing antibiotic resistance. Later, you could get or spread an infection that those antibiotics cannot cure.
NIH: National Institute of Allergy and Infectious Diseases
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| B96 | Other bacterial agents as the cause of diseases classified elsewhere | NON-BILLABLE CODE |
| B96.0 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.2 | Escherichia coli [E. coli ] as the cause of diseases classified elsewhere | NON-BILLABLE CODE |
| B96.20 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.21 | Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.22 | Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.23 | Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.29 | Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.3 | Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.4 | Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.5 | Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.6 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.7 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.8 | Other specified bacterial agents as the cause of diseases classified elsewhere | NON-BILLABLE CODE |
| B96.81 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.82 | Vibrio vulnificus as the cause of diseases classified elsewhere | BILLABLE CODE |
| B96.89 | Other specified bacterial agents as the cause of diseases classified elsewhere | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
