Other bacterial sepsis of newborn
ICD-10 P36.8 is a billable code used to indicate a diagnosis of other bacterial sepsis of newborn.
Bacterial sepsis in newborns is a serious condition characterized by the presence of bacteria in the bloodstream, leading to systemic infection. This condition can arise from various bacterial pathogens, including Group B Streptococcus (GBS) and Escherichia coli (E. coli), which are common culprits in early-onset sepsis. Newborns are particularly vulnerable due to their immature immune systems, making early detection and treatment crucial. Symptoms may include lethargy, poor feeding, temperature instability, and respiratory distress. Diagnosis typically involves blood cultures and clinical evaluation. Treatment often requires intravenous antibiotics and supportive care in a neonatal intensive care unit (NICU). The management of bacterial sepsis is critical to prevent long-term complications such as neurodevelopmental delays and organ dysfunction. Understanding the nuances of coding for bacterial sepsis, including differentiating between specific pathogens and recognizing the clinical context, is essential for accurate documentation and reimbursement.
Detailed clinical notes including vital signs, laboratory results, and treatment plans.
Infants presenting with lethargy and poor feeding in the NICU, requiring sepsis workup.
Accurate timing of symptom onset is crucial for coding early vs. late-onset sepsis.
Comprehensive history and physical examination, including maternal history and delivery details.
Follow-up visits for infants discharged from the NICU with a history of sepsis.
Consideration of long-term outcomes and developmental assessments in follow-up care.
Used when a newborn with sepsis requires intensive monitoring and management.
Detailed documentation of the clinical condition, interventions, and response to treatment.
Neonatologists must ensure that all critical care services are well-documented to support billing.
Common causes include Group B Streptococcus, E. coli, and other bacterial pathogens. Early-onset sepsis typically occurs within the first 72 hours of life, often due to maternal transmission, while late-onset sepsis can occur after the first week, often due to environmental factors.
