Enterococcus Faecalis ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Enterococcus Faecalis?

Enterococcus faecalis, a bacterium that is part of the normal gut flora, can become pathogenic when it migrates to other parts of the body. Proper ICD-10 coding is essential for the accurate diagnosis, treatment, and billing of infections caused by this organism. Below are key ICD-10 codes associated with Enterococcus faecalis infections:

• B95.2 - Enterococcus as the cause of diseases classified elsewhere: Assigned when Enterococcus faecalis is the identified pathogen causing an infection.
• A41.81 - Sepsis due to Enterococcus: Utilized for cases where a patient is diagnosed with sepsis where Enterococcus faecalis is the confirmed or suspected pathogen.
• N39.0 - Urinary tract infection, site not specified: Although a non-specific UTI code, it is often used with B95.2 to indicate an Enterococcus faecalis infection.
• T81.4XXA - Infection following a procedure, initial encounter: Applicable when a post-procedural infection is attributed to Enterococcus faecalis.
• B96.89 - Other specified bacterial agents as the cause of diseases classified elsewhere: A broader code that may be applied when Enterococcus faecalis is determined to be the causative agent of an infection not specified elsewhere.

These codes are integral to the clinical documentation and billing process, ensuring that healthcare providers can accurately represent patient encounters and secure appropriate reimbursement. For a more in-depth exploration of Enterococcus faecalis and related ICD-10 coding, view our explainer video. Additionally, for a complete list of relevant ICD-10 codes, refer to our comprehensive guide on Enterococcus Faecalis ICD Codes.

Which Enterococcus faecalis ICD codes are Billable?

• B95.2 - Yes
• A41.81 - Yes
• N39.0 - Yes
• T81.4XXA - Yes
• B96.89 - Yes

Clinical Information

• Enterococcus faecalis is a gram-positive bacterium, characterized by a thick cell wall that retains the crystal violet stain used during the gram-staining procedure.
• It is a normal inhabitant of the human gastrointestinal tract, coexisting with other microorganisms as part of the gut flora.
•  While typically harmless within the gut, Enterococcus faecalis can cause a range of infections if it spreads to other parts of the body, such as urinary tract infections (UTIs), endocarditis (infection of the heart valves), and wound infections, particularly in immunocompromised individuals.
• This bacterium is known for resisting many commonly used antibiotics, making infections challenging to treat.
• Effective treatment of Enterococcus faecalis infections often requires specific antibiotics, which are selected based on the results of antibiotic sensitivity testing to ensure the most effective therapy is employed.

Synonyms Include:

• E. faecalis
• Group D Streptococcus
• Streptococcus faecalis
• Enterococcal infection
• Alpha-hemolytic streptococcus