P36.10

Billable

Sepsis of newborn due to unspecified streptococci

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 blood infection in a newborn caused by streptococcal bacteria, but the specific type of streptococcus is not identified.

Coding Tips

•Use this code only when streptococcal sepsis is confirmed but the specific organism cannot be determined; query the provider if more specific organism information is available
•This is a perinatal condition code; ensure the patient is documented as a newborn (typically within first 28 days of life)

Clinical Significance

Unspecified streptococcal sepsis in newborns indicates a serious bloodstream infection caused by streptococcal bacteria when the specific species cannot be identified. This condition requires immediate broad-spectrum antibiotic therapy and intensive monitoring, as streptococcal infections in neonates can rapidly progress to septic shock and multiorgan failure.

Documentation Requirements

✓Positive culture showing streptococcal organisms
✓Clinical evidence of sepsis syndrome
✓Documentation that specific streptococcal type unidentified
✓Gestational age and birth weight
✓Laboratory evidence of systemic infection
✓Antibiotic treatment regimen
✓Maternal risk factors if applicable
✓Clinical course and treatment response

Commonly Confused Codes

P36.0 — Group B streptococcal sepsis when GBS is identified P36.19 — Other streptococcal sepsis when specific type known P36.9 — Bacterial sepsis when organism type unknown A40.9 — Streptococcal sepsis in older patients

Code Hierarchy

└P36Bacterial sepsis of newborn └P36.1Sepsis of newborn due to other and unspecified streptococci └P36.10Sepsis of newborn due to unspecified streptococci

└P36.10Sepsis of newborn due to unspecified streptococci