Valid for Submission
B96.20 is a billable diagnosis code used to specify a medical diagnosis of unspecified escherichia coli [e. coli] as the cause of diseases classified elsewhere. The code B96.20 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 B96.20 might also be used to specify conditions or terms like arthritis due to e. coli, coliform urinary tract infection, escherichia coli infection of the central nervous system, escherichia coli intra-amniotic fetal infection, escherichia coli meningitis , escherichia coli urinary tract infection, etc.
The code B96.20 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.
Unspecified diagnosis codes like B96.20 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code B96.20:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Escherichia coli E. coli NOS
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 B96.20 are found in the index:
- - Infection, infected, infective (opportunistic) - B99.9
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Arthritis due to E. coli
- Coliform urinary tract infection
- Escherichia coli infection of the central nervous system
- Escherichia coli intra-amniotic fetal infection
- Escherichia coli meningitis
- Escherichia coli urinary tract infection
- Fetus or newborn infection caused by Escherichia coli
- Infection due to Escherichia coli
- Infection due to Escherichia coli O157
- Infection of amniotic cavity
- Infectious disorder of the fetus
- Intra-amniotic infection of fetus
- Neonatal bacterial dacryocystitis
- Neonatal colibacillosis
- Neonatal dacryocystitis
- Neonatal dacryocystitis due to Escherichia coli
- Neonatal dacryocystitis or conjunctivitis due to Escherichia coli
Diagnostic Related Groups - MS-DRG Mapping
|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 B96.20 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code B96.20 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
E. Coli Infections
E. coli is the name of a type of bacteria that lives in your intestines. Most types of E. coli are harmless. However, some types can make you sick and cause diarrhea. One type causes travelers' diarrhea. The worst type of E. coli causes bloody diarrhea, and can sometimes cause kidney failure and even death. These problems are most likely to occur in children and in adults with weak immune systems.
You can get E. coli infections by eating foods containing the bacteria. Symptoms of infection include
- Nausea or vomiting
- Severe abdominal cramps
- Watery or very bloody diarrhea
To help avoid food poisoning and prevent infection, handle food safely. Cook meat well, wash fruits and vegetables before eating or cooking them, and avoid unpasteurized milk and juices. You can also get the infection by swallowing water in a swimming pool contaminated with human waste.
Most cases of E. coli infection get better without treatment in 5 to 10 days.
[Learn More in MedlinePlus]