ICD-10-CM Code R78.81

Bacteremia

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R78.81 is a billable code used to specify a medical diagnosis of bacteremia. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R78.81 might also be used to specify conditions or terms like bacteremia, bacteremia, bacteremia, bacteremia associated with intravascular line, bacteremia caused by gram-positive bacteria, bacteremia due to methicillin resistant staphylococcus aureus, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R78.81
Short Description:Bacteremia
Long Description:Bacteremia

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R78.81:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • sepsis-code to specified infection

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 R78.81 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:

  • Bacteremia
  • Bacteremia
  • Bacteremia
  • Bacteremia associated with intravascular line
  • Bacteremia caused by Gram-positive bacteria
  • Bacteremia due to Methicillin resistant Staphylococcus aureus
  • Bacteremia due to Staphylococcus aureus
  • Blood culture positive for microorganism

Clinical Information

  • HEMORRHAGIC SEPTICEMIA-. any of several bacterial diseases usually caused by pasteurella multocida marked by the presence of hemorrhagic areas in the subcutaneous tissues serous membranes muscles lymph glands and throughout the internal organs. the diseases primarily affect animals and rarely humans.
  • BACTEREMIA-. the presence of viable bacteria circulating in the blood. fever chills tachycardia and tachypnea are common acute manifestations of bacteremia. the majority of cases are seen in already hospitalized patients most of whom have underlying diseases or procedures which render their bloodstreams susceptible to invasion.

Convert R78.81 to ICD-9

  • 771.83 - Bacteremia of newborn (Approximate Flag)
  • 790.7 - Bacteremia (Approximate Flag)

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Abnormal findings on examination of blood, without diagnosis (R70-R79)
      • Find of drugs and oth substnc, not normally found in blood (R78)

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


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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