ICD Code B96.5

ICD code B96.5 is Pseudomonas (aeruginosa, mallei, or pseudomallei) identified as the cause of diseases that are classified elsewhere in the medical record.

1. Laboratory confirmation of Pseudomonas species (aeruginosa, mallei, or pseudomallei) as the causative agent.

2. Presence of an underlying disease or condition classified elsewhere in ICD coding.

3. Clinical evidence of infection, such as fever, localized or systemic signs of infection, or organ-specific symptoms.

4. Documentation that the identified Pseudomonas species is responsible for the current infectious process.

5. Exclusion of other potential causative organisms through appropriate diagnostic testing.

6. Correlation of microbiological findings with the patient’s clinical presentation and course.

Relevant CPT codes that may be used to treat ICD code B96.5 include:

- 96365: Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour

- 96366: Each additional hour (List separately in addition to code for primary procedure)

- 36415: Collection of venous blood by venipuncture

- 87040: Culture, bacterial; aerobic, blood

- 87186: Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] for bacteria, each multi-antimicrobial)

- 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

- 99291: Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

CPT code selection should be based on the specific services rendered and clinical scenario associated with ICD code B96.5.

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