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v1.0.0
ICD-10 Guide
ICD-10 CodesZ22.32

Z22.32

Carrier of bacterial disease due to staphylococci

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z22.32 is a billable code used to indicate a diagnosis of carrier of bacterial disease due to staphylococci.

Key Diagnostic Point:

Z22.32 identifies individuals who are carriers of staphylococcal bacteria, which can lead to infections in susceptible populations. Carriers may not exhibit symptoms but can transmit the bacteria to others, making it crucial for healthcare providers to recognize and manage these cases. Social determinants of health, such as living conditions, access to healthcare, and community awareness, significantly influence the health status of carriers. Preventive care includes educating carriers about hygiene practices to reduce transmission risk and screening for potential infections in high-risk groups. Regular follow-ups and aftercare are essential to monitor any changes in health status and to provide support for those at risk of developing infections. This code is particularly relevant in settings where staphylococcal infections are prevalent, such as hospitals and community health programs, emphasizing the importance of preventive measures and health education.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for thorough documentation of carrier status and potential transmission risks.
  • Differentiation between asymptomatic carriers and symptomatic infections.
  • Consideration of social determinants affecting health outcomes.
  • Potential for co-morbid conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of carrier status and risk factors.
  • Failure to link Z code with appropriate clinical scenarios.
  • Misclassification of carriers as symptomatic patients.
  • Lack of follow-up documentation for preventive care.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history, risk factors, and preventive measures discussed.

Common Clinical Scenarios

Routine checkups where carrier status is identified, screenings for infections, and aftercare follow-ups.

Billing Considerations

Consideration of social determinants such as housing, sanitation, and access to healthcare services.

Public Health

Documentation Requirements

Population-level data collection, surveillance of carrier prevalence, and community health education efforts.

Common Clinical Scenarios

Epidemiological studies, outbreak investigations, and preventive health campaigns.

Billing Considerations

Focus on community health impacts and tracking of health status trends.

Coding Guidelines

Inclusion Criteria

Use Z22.32 When
  • Z codes are used to indicate factors influencing health status and should be sequenced appropriately
  • When coding Z22
  • 32, ensure it is not the primary diagnosis unless it is the main reason for the encounter
  • Payer requirements may vary, so check specific guidelines for coverage of preventive services related to carrier status

Exclusion Criteria

Do NOT use Z22.32 When
No specific exclusions found.

Related CPT Codes

99385CPT Code

Preventive medicine evaluation and management, new patient

Clinical Scenario

Used during a preventive visit where carrier status is assessed.

Documentation Requirements

Document patient history, risk factors, and preventive measures discussed.

Specialty Considerations

Primary care focus on preventive health and education.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding carrier statuses, enhancing the ability to track and manage public health concerns related to bacterial diseases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding carrier statuses, enhancing the ability to track and manage public health concerns related to bacterial diseases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding carrier statuses, enhancing the ability to track and manage public health concerns related to bacterial diseases.

Resources

Clinical References

  • •
    CDC Guidelines on Staphylococcal Infections

Coding & Billing References

  • •
    CDC Guidelines on Staphylococcal Infections

Frequently Asked Questions

What preventive measures should be taken for carriers of staphylococci?

Carriers should be educated on proper hygiene practices, including handwashing and wound care, to minimize the risk of transmission. Regular screenings and follow-ups are also recommended to monitor health status.