2021 ICD-10-CM Code B96.1 - Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere

Valid for Submission

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 2021 from October 01, 2020 through September 30, 2021 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.

Code Classification

Certain infectious and parasitic diseases (A00–B99)
- Bacterial and viral infectious agents (B95-B97)
  - Oth bacterial agents as the cause of diseases classd elswhr (B96)

Index to Diseases and Injuries

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:

- Infection, infected, infective (opportunistic) - B99.9
- - bacterial NOS - A49.9
  - - as cause of disease classified elsewhere - B96.89
    - - Klebsiella pneumoniae [K. pneumoniae] - B96.1
- - Klebsiella (K.) pneumoniae NEC - A49.8
  - - as cause of disease classified elsewhere - B96.1

- Klebsiella (K.) pneumoniae, as cause of disease classified elsewhere - B96.1

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 V38.0 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 10/01/2020 through 09/30/2021.

867 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC - Relative Weight: 2.2295
868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC - Relative Weight: 1.0584
869 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC - Relative Weight: 0.726

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 percent 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

Actinomycosis (Medical Encyclopedia)
Bacterial vaginosis -- aftercare (Medical Encyclopedia)
Blood culture (Medical Encyclopedia)
Gram stain (Medical Encyclopedia)
Gram stain of skin lesion (Medical Encyclopedia)
Necrotizing soft tissue infection (Medical Encyclopedia)

[Learn More in MedlinePlus]

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)

ICD-10:	B96.1
Short Description:	Klebsiella pneumoniae as the cause of diseases classd elswhr
Long Description:	Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere