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B96.3
ICD-10-CM
Haemophilus influenzae

Find comprehensive information on Haemophilus influenzae diagnosis, including clinical documentation requirements, medical coding guidelines (ICD-10 codes), and healthcare best practices for Haemophilus influenzae type B (Hib). Learn about Haemophilus influenzae infection symptoms, treatment, and prevention strategies. This resource offers valuable insights for healthcare professionals, clinicians, and medical coders seeking accurate and up-to-date information on Haemophilus influenzae.

Also known as

H. influenzae
Hib

Diagnosis Snapshot

Key Facts
  • Definition : Bacterial infection, can cause serious illnesses like meningitis and pneumonia.
  • Clinical Signs : Fever, cough, ear pain, headache, stiff neck, confusion, fatigue.
  • Common Settings : Daycare centers, schools, crowded living conditions.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC B96.3 Coding
A49.2

Haemophilus influenzae infection

Infection caused by Haemophilus influenzae bacteria.

J14

Pneumonia due to Haemophilus influenzae

Lung infection specifically caused by Haemophilus influenzae.

H66.0

Acute suppurative otitis media due to Haemophilus influenzae

Ear infection with pus formation caused by Haemophilus influenzae.

G00.8

Bacterial meningitis, Haemophilus

Inflammation of the brain and spinal cord membranes due to Haemophilus bacteria.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is H. influenzae invasive?

  • Yes

    Meningitis?

  • No

    Respiratory infection?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Haemophilus influenzae infection
Bacterial pneumonia, unspecified
Acute otitis media

Documentation Best Practices

Documentation Checklist
  • Haemophilus influenzae diagnosis documentation
  • Clinical findings supporting H. influenzae infection
  • Specific diagnostic tests (e.g., PCR, culture)
  • Serotype if available (e.g., Hib)
  • Site of infection (e.g., ear, lung, blood)

Coding and Audit Risks

Common Risks
  • Unspecified Site

    Coding H. influenzae without specifying the infection site (e.g., pneumonia, meningitis) leads to inaccurate severity and reimbursement.

  • Type B vs. Non-B

    Failing to distinguish between H. influenzae type B (Hib) and non-typeable H. influenzae impacts public health surveillance and treatment.

  • Clinical Validation

    Lack of clinical documentation supporting the H. influenzae diagnosis can cause coding errors and compliance issues during audits.

Mitigation Tips

Best Practices
  • Document Hib vaccine status for accurate ICD-10-CM coding (Z23).
  • Specify infection site (e.g., meningitis, pneumonia) for precise coding.
  • For invasive Hib, code primary infection site, not 'Haemophilus influenzae'.
  • Ensure thorough clinical documentation for compliant reimbursement.
  • Order appropriate lab tests (e.g., cultures, PCR) for definitive diagnosis.

Clinical Decision Support

Checklist
  • Sudden onset high fever, check documented
  • Respiratory symptoms present, coding J14, J15
  • Confirm with culture or PCR, ensure specificity
  • Meningitis signs, lumbar puncture ordered J17.0

Reimbursement and Quality Metrics

Impact Summary
  • Haemophilus influenzae reimbursement hinges on accurate ICD-10-CM coding (e.g., B96.8, J14) and proper documentation for optimal payer reimbursement.
  • Coding quality impacts H. influenzae case severity, affecting DRG assignment and hospital reimbursement.
  • Accurate H. influenzae diagnosis reporting influences public health surveillance and infection control programs.
  • Timely and specific H. influenzae coding improves data quality for hospital quality metrics like infection rates and readmissions.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code confirmed Hib by site
  • Specify invasive/non-invasive
  • Document Hib serotype if known
  • Check PCR/culture results for dx
  • Use additional codes for complications

Documentation Templates

Patient presents with symptoms suggestive of Haemophilus influenzae infection.  Clinical presentation includes [specific symptoms observed e.g., fever, cough, otalgia, dyspnea, headache, altered mental status].  Onset of symptoms occurred [timeframe].  Patient history includes [relevant medical history, e.g., recent upper respiratory infection, immunizations, chronic illnesses].  Physical examination reveals [objective findings e.g.,  tachypnea,  retractions,  rhonchi,  meningismus,  purpuric rash].  Differential diagnosis includes bacterial pneumonia, meningitis, otitis media, epiglottitis, sepsis.  Based on clinical findings and [diagnostic tests performed e.g., blood culture, cerebrospinal fluid analysis, sputum culture, complete blood count, chest x-ray],  a diagnosis of Haemophilus influenzae [type of infection e.g., type b, non-typeable] infection is suspectedconfirmed.  Treatment plan includes [specific medications e.g., antibiotics such as ceftriaxone, amoxicillin-clavulanate] administered [route of administration e.g., intravenously, orally].  Patient education provided regarding disease process, medication administration, potential complications, and follow-up care.  Patient condition is currently stableimprovingdeclining and will be closely monitored.  ICD-10 code[s] [relevant ICD-10 code(s) e.g., A49.1, G00.1, J14, H66.91] considered for this encounter.  CPT code[s] [relevant CPT code(s) e.g., for procedures performed, such as lumbar puncture, blood draw, chest x-ray interpretation] will be documented upon completion of services.  Further diagnostic testing andor treatment may be warranted based on patient response and clinical course.
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