Clinical & Coding Concepts in Antimicrobial Resistance
Virulent strains of infectious organisms have adapted to today’s antibiotics. CMS is sending a clear message with increasing reimbursement for those patients with antimicrobial resistance through DRG and add-on payments. With the addition of 18 antimicrobial resistance codes qualifying as CC’s and 2 codes continuing to qualify as MCC’s, the message is being made abundantly clear. These patients require management and services beyond that of patients with antibiotic-responsive infections.