A48.51
BillableInfant botulism
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Infant botulism is a serious condition where toxins produced by Clostridium botulinum bacteria grow in a baby's intestines, causing muscle weakness and paralysis. This condition typically affects infants under 12 months old and can result in difficulty feeding, weak crying, and in severe cases, respiratory failure.
Coding Tips
- •Verify the patient's age is documented as an infant (typically under 12 months) to ensure appropriate code selection, as botulism in older children and adults uses different codes
- •Look for documentation of the source (often honey exposure) and clinical manifestations such as constipation, hypotonia, weak cry, or respiratory compromise to support the diagnosis