ICD-10-CM Code P36.4

Sepsis of newborn due to Escherichia coli

Version 2020 Billable Code

Valid for Submission

P36.4 is a billable code used to specify a medical diagnosis of sepsis of newborn due to escherichia coli. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code P36.4 might also be used to specify conditions or terms like fetus or newborn infection caused by escherichia coli, fetus or newborn infection caused by escherichia coli, infections specific to perinatal period, neonatal colibacillosis, perinatal sepsis, perinatal sepsis caused by escherichia coli, etc

ICD-10:P36.4
Short Description:Sepsis of newborn due to Escherichia coli
Long Description:Sepsis of newborn due to Escherichia coli

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 P36.4 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Fetus or newborn infection caused by Escherichia coli
  • Fetus or newborn infection caused by Escherichia coli
  • Infections specific to perinatal period
  • Neonatal colibacillosis
  • Perinatal sepsis
  • Perinatal sepsis caused by Escherichia coli
  • Sepsis due to Escherichia coli
  • Sepsis due to Escherichia coli
  • Sepsis of newborn due to Escherichia coli

Convert P36.4 to ICD-9

  • 771.81 - NB septicemia [sepsis] (Approximate Flag)

Code Classification

  • Certain conditions originating in the perinatal period (P00–P96)
    • Infections specific to the perinatal period (P35-P39)
      • Bacterial sepsis of newborn (P36)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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
  • Fatigue
  • Fever

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.


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Sepsis

Sepsis is a serious illness. It happens when your body has an overwhelming immune response to a bacterial infection. The chemicals released into the blood to fight the infection trigger widespread inflammation. This leads to blood clots and leaky blood vessels. They cause poor blood flow, which deprives your body's organs of nutrients and oxygen. In severe cases, one or more organs fail. In the worst cases, blood pressure drops and the heart weakens, leading to septic shock.

Anyone can get sepsis, but the risk is higher in

  • People with weakened immune systems
  • Infants and children
  • Adults 65 and older
  • People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease
  • People suffering from a severe burn or physical trauma

Common symptoms of sepsis are fever, chills, rapid breathing and heart rate, rash, confusion, and disorientation. Doctors diagnose sepsis using a blood test to see if the number of white blood cells is abnormal. They also do lab tests that check for signs of infection.

People with sepsis are usually treated in hospital intensive care units. Doctors try to treat the infection, sustain the vital organs, and prevent a drop in blood pressure. Many patients receive oxygen and intravenous (IV) fluids. Other types of treatment, such as respirators or kidney dialysis, may be necessary. Sometimes, surgery is needed to clear up an infection.

NIH: National Institute of General Medical Sciences


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Uncommon Infant and Newborn Problems

It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.

Learning information about your baby's condition can help ease your worry. Do not be afraid to ask questions about your baby's care. By working together with your health care provider, you make sure that your baby gets the best care possible.


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