tci ED Coding & Reimbursement Alert - 2023 Issue Q4

Reader Questions: Shigellosis Dx Depends on Type

Question: A patient reports to the ED complaining of severe stomach cramps and diarrhea. Over the course of a level-four ED evaluation and management (E/M) service, the physician diagnoses and treats shigellosis. What is shigellosis, and how do I choose an ICD-10 code for the condition? Kansas Subscriber Answer: Per ICD-10, “Shigellosis is caused by a group of bacteria called Shigella, leading to diarrhea, fever, and stomach cramps.” Depending on encounter specifics, you’ll report one of the following codes to represent the patient’s shigellosis: A03.0 (Shigellosis due to Shigella dysenteriae) A03.1 (Shigellosis due...

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