ICD Code A41.02

ICD code A41.02 is sepsis caused by Methicillin-resistant Staphylococcus aureus (MRSA), a type of bacteria that is resistant to many antibiotics.

1. Clinical evidence of sepsis, including signs such as fever, tachycardia, tachypnea, and leukocytosis or leukopenia

2. Laboratory confirmation or strong clinical suspicion of infection with Staphylococcus aureus

3. Microbiological evidence that the Staphylococcus aureus isolate is methicillin-resistant (MRSA)

4. Documentation that the sepsis is directly attributable to the MRSA infection

5. Absence of other pathogens as the primary cause of sepsis

Relevant CPT codes that may be used to treat ICD code A41.02 include:

- 99221–99223 (Initial hospital care, per day, for the evaluation and management of a patient)

- 99231–99233 (Subsequent hospital care, per day, for the evaluation and management of a patient)

- 36415 (Collection of venous blood by venipuncture)

- 87040 (Blood culture for bacteria, aerobic)

- 96365–96368 (Intravenous infusion, for therapy, prophylaxis, or diagnosis)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 90792 (Psychiatric diagnostic evaluation with medical services, if indicated)

- 99468–99476 (Critical care services for neonates and pediatric patients, if applicable)

- 31500 (Intubation, endotracheal, emergency procedure, if required)

- 94002–94004 (Ventilation management, if required)

- 36410 (Venipuncture, age 3 years or older, necessitating physician’s skill)

- 99291–99292 (Critical care, evaluation and management of the critically ill or critically injured patient)

CPT code selection should be based on the specific services rendered and clinical scenario for ICD code A41.02.

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