My coworker and I are a little confused on Dx 041.09. In her ICD-9 book there is an italicized note stating that you should report the disease first and then the bacteria. When I review in my ICD-9 book there is only the "note" that states "This category is provided to be used as an additional code to identify the bacterial agent in diseases classified elsewhere. This category will also be used to classify bacterial infections of unspecified nature or site." The problem is we only have the lab test that identifies Streptococcus infection and there is no documentation to indicate where the infection originated. Can diagnosis 041.09 be used with out listing a disease first?
Any clarification is appreciated.
Thank you
Last edited by kijoecker; Today at 02:07 PM.
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