B96.81
BillableHelicobacter pylori [H. pylori] as the cause of diseases classified elsewhere
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This code indicates that Helicobacter pylori bacteria is the identified cause of a disease or condition documented elsewhere in the medical record. H. pylori is a common bacterium that infects the stomach and can cause ulcers, gastritis, and other digestive problems.
Coding Tips
- •This is a secondary code used only when H. pylori is confirmed as the causative organism; always pair it with a primary diagnosis code that describes the actual disease or condition it caused (such as peptic ulcer disease or gastritis)
- •Verify that the medical record documents H. pylori as the confirmed cause through test results (such as breath test, stool antigen, or endoscopy biopsy) rather than just suspected infection
Code Hierarchy
└B96Other bacterial agents as the cause of diseases classified elsewhere└B96.8Other specified bacterial agents as the cause of diseases classified elsewhere└B96.81Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere
└B96.81Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere