ICD-10 Coding for Group B Streptococcus Positive(O99.820)
Complete ICD-10-CM coding and documentation guide for Group B Streptococcus Positive. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Group B Streptococcus Positive
O99.8Primary Range
Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
This range includes codes for conditions like GBS that complicate pregnancy.
Bacterial and viral infectious agents
This range includes codes for identifying infectious agents, such as Group B Streptococcus.
Key Information: How is GBS positive status coded during pregnancy?
Essential facts and insights about Group B Streptococcus Positive
Primary ICD-10-CM Code for group b streptococcus positive
Decision Criteria
clinical Criteria
- Confirmed GBS colonization via culture
coding Criteria
- Pregnancy-related encounter
Applicable To
- GBS carrier state during pregnancy
Excludes
- Non-pregnancy related GBS carrier state
Clinical Validation Requirements
- Positive GBS culture from vaginal/rectal swab
- Documented pregnancy status
Code-Specific Risks
- Incorrect sequencing with other pregnancy-related codes
Coding Notes
- Always sequence O99.820 first in pregnancy-related encounters.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Carrier of Group B Streptococcus
Z22.330Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Group B Streptococcus Positive to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.820.
Impact
Clinical: Incomplete clinical picture for treatment decisions., Regulatory: Potential audit issues for incomplete coding., Financial: Missed opportunities for accurate reimbursement.
Mitigation Strategy
Always pair O99.820 with B95.1 when GBS is identified.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records affecting clinical decision-making.
Mitigation Strategy
Always use O99.820 for pregnancy-related GBS carrier state.
Impact
Failure to sequence O99.820 first in pregnancy-related encounters.
Mitigation Strategy
Educate coding staff on Chapter 15 sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Group B Streptococcus Positive, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Group B Streptococcus Positive
Use these documentation templates to ensure complete and accurate documentation for Group B Streptococcus Positive. These templates include all required elements for proper coding and billing.
GBS Positive in Pregnancy
Specialty: ObstetricsRequired Elements
- GBS screening method
- Test results
- Antibiotic prophylaxis plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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