ICD-10 Coding for Mycobacterium avium-intracellulare infection(A31.0, A31.0B, A31.0P)
Comprehensive guide to ICD-10 coding for Mycobacterium avium-intracellulare infection, including disseminated and pulmonary MAC, with documentation requirements and coding tips.
Complete code families applicable to Mycobacterium avium-intracellulare infection
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A31.2 | Disseminated mycobacterium avium-intracellulare complex (DMAC) | Use when MAC involves two or more non-contiguous organs. |
|
| A31.0 | Pulmonary mycobacterial infection | Use for isolated lung involvement with radiographic evidence. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutMycobacterium avium-intracellulare infection
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Mycobacterium avium-intracellulare infection.
Using A31.8 instead of A31.0 or A31.2.
Impact
Clinical: Leads to incorrect treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement.
Mitigation
Verify specific MAC identification before coding., Use culture results to guide code selection.
Confusing MAC with tuberculosis.
Impact
Reimbursement: Incorrect coding can lead to improper DRG assignment., Compliance: May result in compliance issues with coding standards., Data Quality: Affects accuracy of clinical data and patient records.
Mitigation
Ensure MAC is confirmed by culture or PCR and differentiate from TB using specific tests.
Incorrect MAC vs. TB coding
Impact
Risk of coding MAC as TB due to similar clinical presentations.
Mitigation
Ensure differentiation through specific lab tests and documentation.