A26.7

HCC Category Mapping

What This Code Means

A serious bloodstream infection caused by the Erysipelothrix bacteria, which typically enters the body through cuts or wounds on the skin. This condition can spread throughout the body and cause severe systemic illness if not treated promptly with antibiotics.

Coding Tips

• •Verify that sepsis is documented in the medical record before assigning this code, as it indicates a systemic infection rather than localized erysipeloid
• •Check for any secondary codes related to the site of entry (such as wound infection) or any organ dysfunction that may have resulted from the sepsis

Clinical Significance

Erysipelothrix sepsis is a rare bloodstream infection caused by Erysipelothrix rhusiopathiae, primarily affecting individuals with occupational exposure to animals, fish, or meat products. The infection can cause endocarditis in up to 90% of sepsis cases, making cardiac evaluation essential.

Documentation Requirements

• ✓Blood cultures identifying Erysipelothrix rhusiopathiae
• ✓Documentation of sepsis criteria (SIRS/qSOFA with suspected infection source)
• ✓Occupational or exposure history (butchers, fishermen, veterinarians, poultry workers)
• ✓Echocardiogram results to evaluate for endocarditis (present in majority of Erysipelothrix sepsis cases)
• ✓Organ dysfunction assessment and severity documentation

Commonly Confused Codes