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v1.0.0
ICD-10 Guide
ICD-10 CodesA32.1

A32.1

Listeriosis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A32.1 is a billable code used to indicate a diagnosis of listeriosis.

Key Diagnostic Point:

Listeriosis is an infection caused by the bacterium Listeria monocytogenes, which is commonly found in contaminated food. It primarily affects pregnant women, newborns, the elderly, and individuals with weakened immune systems. The clinical presentation can vary from mild flu-like symptoms to severe complications such as meningitis, septicemia, and encephalitis. In pregnant women, listeriosis can lead to miscarriage, stillbirth, or severe illness in the newborn. Diagnosis is typically made through culture of the organism from blood or cerebrospinal fluid, and serological tests may also be employed. Treatment usually involves the use of antibiotics such as ampicillin or penicillin, and in severe cases, may require hospitalization. The infection is notable for its ability to survive and multiply at refrigeration temperatures, making food safety a critical aspect of prevention. Public health measures focus on educating at-risk populations about safe food handling and consumption practices.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied clinical presentations complicate diagnosis.
  • Potential for severe outcomes in high-risk populations.
  • Differential diagnosis includes other bacterial infections.
  • Documentation must specify the source of infection.

Audit Risk Factors

  • Inadequate documentation of clinical symptoms.
  • Failure to specify high-risk populations.
  • Misclassification of the source of infection.
  • Lack of follow-up documentation post-treatment.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on symptoms, lab results, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of listeriosis in immunocompromised patients.

Billing Considerations

Ensure documentation reflects the severity and complications of the infection.

Obstetrics

Documentation Requirements

Pregnancy status, gestational age, and maternal-fetal outcomes.

Common Clinical Scenarios

Pregnant women presenting with flu-like symptoms and potential exposure history.

Billing Considerations

Documenting the impact on pregnancy outcomes is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use A32.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including any complications or co
  • morbid conditions
  • existing

Exclusion Criteria

Do NOT use A32.1 When
  • Exclude codes for other bacterial infections unless they are co

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when a culture is taken to confirm listeriosis.

Documentation Requirements

Document the source of the culture and the clinical indication.

Specialty Considerations

Infectious disease specialists should ensure cultures are properly labeled and processed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of listeriosis, improving data accuracy and facilitating better tracking of outbreaks and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of listeriosis, improving data accuracy and facilitating better tracking of outbreaks and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of listeriosis, improving data accuracy and facilitating better tracking of outbreaks and treatment outcomes.

Resources

Clinical References

  • •
    CDC Listeria (Listeriosis) Information

Coding & Billing References

  • •
    CDC Listeria (Listeriosis) Information

Frequently Asked Questions

What are the common symptoms of listeriosis?

Common symptoms include fever, muscle aches, nausea, and diarrhea. In severe cases, it can lead to meningitis or septicemia.

Who is at the highest risk for listeriosis?

Pregnant women, newborns, the elderly, and individuals with weakened immune systems are at the highest risk.