Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site

This code signifies a bacterial infection where the specific type of bacteria is unknown, and the infection's location within the body is not documented. It is used when the bacterial infection is a secondary or co-occurring condition to a primary diagnosis classified elsewhere.

Apply this code when documentation confirms a bacterial infection but lacks specificity regarding the causative organism or anatomical site, and the infection is not the primary reason for the encounter. This is often seen in cases where a patient presents with symptoms suggestive of infection, and cultures are pending or inconclusive, or the infection is a complication of another condition.

• Avoid using this code if a more specific bacterial organism (e.g., Staphylococcus aureus) or infection site (e.g., pneumonia) is documented.
• Always sequence this code after the primary diagnosis to which the bacterial infection is secondary.
• Query the provider for more specific information regarding the bacteria and site of infection whenever possible to allow for more precise coding.