ICD-10 Coding for History of MRSA(Z86.14, Z22.322)
Complete ICD-10-CM coding and documentation guide for History of MRSA. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of MRSA
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.14 | Personal history of Methicillin-resistant Staphylococcus aureus (MRSA) | Use when the patient has a documented history of MRSA infection that is resolved. |
|
| Z22.322 | Carrier of Methicillin-resistant Staphylococcus aureus | Use when the patient is currently colonized with MRSA without active infection. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of MRSA
Essential facts and insights about History of MRSA
Primary ICD-10-CM Codes for history of mrsa
Decision Criteria
clinical Criteria
- Patient has a history of MRSA infection that is resolved.
documentation Criteria
- Medical record must state 'history of MRSA' and confirm resolution.
Clinical Validation Requirements
- Documentation of resolved MRSA infection
- Negative cultures confirming no active MRSA
Code-Specific Risks
- Confusing with current MRSA infection codes
- Incorrectly coding as carrier status
Coding Notes
- Ensure documentation clearly states 'history of MRSA' without current colonization.
Z22.322 - Carrier of Methicillin-resistant Staphylococcus aureus
Use when the patient is currently colonized with MRSA without active infection.
Applicable To
- Current MRSA colonization
Excludes
- History of MRSA (Z86.14)
Clinical Validation Requirements
- Positive MRSA screening without symptoms
Coding Notes
Ensure documentation specifies 'carrier' status.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of MRSA to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.14.
Impact
Clinical: May lead to incorrect treatment decisions., Regulatory: Potential for audit due to coding errors., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Use precise language in medical records.
Impact
Reimbursement: Incorrect coding may affect DRG assignment., Compliance: May lead to audits due to coding errors., Data Quality: Impacts accuracy of patient records.
Mitigation Strategy
Verify documentation for terms like 'history' vs. 'carrier'.
Impact
Using history code for active or carrier status.
Mitigation Strategy
Ensure documentation specifies 'history' or 'carrier'.
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 History of MRSA, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of MRSA
Use these documentation templates to ensure complete and accurate documentation for History of MRSA. These templates include all required elements for proper coding and billing.
Patient with resolved MRSA infection
Specialty: Infectious DiseaseRequired Elements
- History of MRSA infection
- Resolution confirmation
- Current symptoms
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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