P36.0

Billable

Sepsis of newborn due to streptococcus, group B

HCC Category Mapping

V28HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

0.455

V24HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

0.455

ESRDHCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

0.000

What This Code Means

A serious bloodstream infection (sepsis) in a newborn caused by Group B Streptococcus bacteria, typically acquired from the mother during delivery.

Coding Tips

•Document the clinical presentation (early-onset vs. late-onset) as this affects treatment protocols
•Verify maternal Group B Streptococcus colonization status is documented in the medical record

Clinical Significance

Group B Streptococcus (GBS) sepsis in newborns is a serious bacterial infection with high morbidity and mortality risk, often acquired during delivery from maternal GBS colonization. Early recognition and aggressive antibiotic treatment are critical to prevent complications such as meningitis, pneumonia, and septic shock that can result in long-term neurodevelopmental sequelae.

Documentation Requirements

✓Positive culture or antigen test for Group B Streptococcus
✓Clinical signs of sepsis or systemic infection
✓Gestational age and birth weight
✓Maternal GBS status if known
✓Blood culture results
✓Antibiotic treatment initiated
✓Laboratory values supporting sepsis (CBC, inflammatory markers)
✓Clinical response to treatment

Commonly Confused Codes

P36.10 — Unspecified streptococcal sepsis when GBS not confirmed P36.19 — Other streptococcal sepsis, not Group B A40.1 — Group B strep sepsis in older patients P36.9 — Unspecified bacterial sepsis

Code Hierarchy

└P36Bacterial sepsis of newborn └P36.0Sepsis of newborn due to streptococcus, group B

└P36.0Sepsis of newborn due to streptococcus, group B