The ICD10 code for the diagnosis "Sepsis due to Methicillin susceptible Staphylococcus aureus" is "A41.01". A41.01 is a VALID/BILLABLE ICD10 code, i.e it is valid for submission for HIPAA-covered transactions.
- A41.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2019 edition of ICD-10-CM A41.01 became effective on October 1, 2018.
- This is the American ICD-10-CM version of A41.01 - other international versions of ICD-10 A41.01 may differ.
Applicable To:
- MSSA sepsis
- Staphylococcus aureus sepsis NOS
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
OUTCOMES | ||
Avg. LOS | 11.93 | |
Readmission Rate (%) | 34.86 | |
Unplanned Readmission Rate (%) | 17.41 | |
Mortality Rate (%) | ||
SNF Discharge Rate (%) | ||
Home Discharge Rate (%) | ||
PAYMENTS AND CHARGES | ||
Total Medicare Payments | ||
Payment Per Day | ||
Payment Per Hospitalization | ||
Total Medicare Charges | ||
Avg. Charges | ||
MARKET SIZING & INCIDENCE RATES | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
Total Medicare Hospitalizations after Exclusion |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 25,388 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus in DRG | 54.01 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 9.27 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 32.08 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 19.27 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $338,903,426 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $1,440 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $13,349 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $2,187,478,336 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $86,162 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 13.38 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 30.77 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 15.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Total Hospitalizations at DRG | 45,478 | ||||
Total Hospitalizations with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 361 | ||||
DRG Share of Total Hospitalizations | 0.14 | ||||
% of Total ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus in DRG | 0.77 | ||||
Avg LOS at DRG | 25.29 | ||||
Avg LOS with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 26.29 | ||||
Readmission Rate at DRG | 74.5 | ||||
Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 80.14 | ||||
Unplanned Readmission Rate at DRG | 8.79 | ||||
Unplanned Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 5.32 | ||||
Total Medicare payments at DRG | $3,386,848,549 | ||||
Total Medicare payments with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $29,108,524 | ||||
Total Medicare payment per Day at DRG | $2,945 | ||||
Total Medicare payment per Day with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $3,067 | ||||
Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
Total Medicare payment per Hospitalization with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $80,633 | ||||
Total Medicare Charges at DRG | $15,882,518,852 | ||||
Total Medicare Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $152,621,512 | ||||
Avg Charges at DRG | $349,235 | ||||
Avg Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $422,774 | ||||
Mortality Rate at DRG | 13.7 | ||||
Mortality Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 16.34 | ||||
SNF Discharge Rate at DRG | 17.77 | ||||
SNF Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 14.68 | ||||
Home Discharge Rate at DRG | 1.95 | ||||
Home Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Total Hospitalizations at DRG | 900 |
Total Hospitalizations with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 23 |
DRG Share of Total Hospitalizations | 0.0 |
% of Total ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus in DRG | 0.05 |
Avg LOS at DRG | 4.46 |
Avg LOS with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 10.04 |
Readmission Rate at DRG | 13.87 |
Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | NA |
Unplanned Readmission Rate at DRG | 8.16 |
Unplanned Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | NA |
Total Medicare payments at DRG | $8,428,607 |
Total Medicare payments with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $238,783 |
Total Medicare payment per Day at DRG | $2,101 |
Total Medicare payment per Day with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $1,034 |
Total Medicare payment per Hospitalization at DRG | $9,365 |
Total Medicare payment per Hospitalization with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $10,382 |
Total Medicare Charges at DRG | $46,502,612 |
Total Medicare Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $1,361,691 |
Avg Charges at DRG | $51,670 |
Avg Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $59,204 |
Mortality Rate at DRG | NA |
Mortality Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | NA |
SNF Discharge Rate at DRG | 11.44 |
SNF Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | NA |
Home Discharge Rate at DRG | 63.33 |
Home Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | NA |
Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 14 |
Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 25 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 24 |
Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 26,024 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus in DRG | 33.28 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 9.28 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 32.09 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 19.29 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $347,626,573 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $1,439 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $13,358 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $2,241,695,943 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $86,140 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 13.39 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 30.76 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 15.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Total Hospitalizations at DRG | 99,217 | ||||
Total Hospitalizations with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 2,452 | ||||
DRG Share of Total Hospitalizations | 0.3 | ||||
% of Total ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus in DRG | 3.14 | ||||
Avg LOS at DRG | 14.88 | ||||
Avg LOS with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 15.94 | ||||
Readmission Rate at DRG | 41.65 | ||||
Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 44.1 | ||||
Unplanned Readmission Rate at DRG | 18.54 | ||||
Unplanned Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 17.41 | ||||
Total Medicare payments at DRG | $4,073,197,631 | ||||
Total Medicare payments with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $109,806,098 | ||||
Total Medicare payment per Day at DRG | $2,758 | ||||
Total Medicare payment per Day with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $2,810 | ||||
Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
Total Medicare payment per Hospitalization with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $44,782 | ||||
Total Medicare Charges at DRG | $20,258,140,795 | ||||
Total Medicare Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $552,364,880 | ||||
Avg Charges at DRG | $204,180 | ||||
Avg Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $225,271 | ||||
Mortality Rate at DRG | 35.07 | ||||
Mortality Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 44.0 | ||||
SNF Discharge Rate at DRG | 25.76 | ||||
SNF Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 20.55 | ||||
Home Discharge Rate at DRG | 4.34 | ||||
Home Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 2.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Total Hospitalizations at DRG | 38,827 | ||||
Total Hospitalizations with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 839 | ||||
DRG Share of Total Hospitalizations | 0.12 | ||||
% of Total ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus in DRG | 1.07 | ||||
Avg LOS at DRG | 8.58 | ||||
Avg LOS with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 8.61 | ||||
Readmission Rate at DRG | 27.62 | ||||
Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 28.59 | ||||
Unplanned Readmission Rate at DRG | 15.85 | ||||
Unplanned Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 13.51 | ||||
Total Medicare payments at DRG | $555,779,802 | ||||
Total Medicare payments with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $11,601,395 | ||||
Total Medicare payment per Day at DRG | $1,668 | ||||
Total Medicare payment per Day with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $1,606 | ||||
Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
Total Medicare payment per Hospitalization with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $13,828 | ||||
Total Medicare Charges at DRG | $2,652,789,227 | ||||
Total Medicare Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $61,779,599 | ||||
Avg Charges at DRG | $68,323 | ||||
Avg Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $73,635 | ||||
Mortality Rate at DRG | 3.06 | ||||
Mortality Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 4.29 | ||||
SNF Discharge Rate at DRG | 20.78 | ||||
SNF Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 25.98 | ||||
Home Discharge Rate at DRG | 32.02 | ||||
Home Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 20.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Total Hospitalizations at DRG | 109,018 | ||||
Total Hospitalizations with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 624 | ||||
DRG Share of Total Hospitalizations | 0.33 | ||||
% of Total ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus in DRG | 0.8 | ||||
Avg LOS at DRG | 12.66 | ||||
Avg LOS with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 19.33 | ||||
Readmission Rate at DRG | 35.31 | ||||
Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 42.4 | ||||
Unplanned Readmission Rate at DRG | 20.73 | ||||
Unplanned Readmission Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 20.4 | ||||
Total Medicare payments at DRG | $3,554,922,428 | ||||
Total Medicare payments with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $25,312,659 | ||||
Total Medicare payment per Day at DRG | $2,575 | ||||
Total Medicare payment per Day with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $2,099 | ||||
Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
Total Medicare payment per Hospitalization with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $40,565 | ||||
Total Medicare Charges at DRG | $15,445,232,132 | ||||
Total Medicare Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $132,464,665 | ||||
Avg Charges at DRG | $141,676 | ||||
Avg Charges with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | $212,283 | ||||
Mortality Rate at DRG | 8.99 | ||||
Mortality Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 14.42 | ||||
SNF Discharge Rate at DRG | 27.26 | ||||
SNF Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 23.88 | ||||
Home Discharge Rate at DRG | 27.78 | ||||
Home Discharge Rate with ICD A4101 - Sepsis due to Methicillin susceptible Staphylococcus aureus | 13.94 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 45 |
Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 31 |
Dr. LEE T WIMBERLY | 50 MEDICAL PARK DR E | BIRMINGHAM | AL | 35235 | 27 |
1 | J15211 | Pneumonia due to Methicillin susceptible Staphylococcus aureus |
2 | I330 | Acute and subacute infective endocarditis |
3 | B9561 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere |
4 | E11621 | Type 2 diabetes mellitus with foot ulcer |
5 | I120 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
6 | Z992 | Dependence on renal dialysis |
7 | N186 | End stage renal disease |
8 | E1142 | Type 2 diabetes mellitus with diabetic polyneuropathy |
9 | D631 | Anemia in chronic kidney disease |
10 | L03115 | Cellulitis of right lower limb |
11 | L03116 | Cellulitis of left lower limb |
12 | E1140 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified |
13 | D62 | Acute posthemorrhagic anemia |
14 | E1165 | Type 2 diabetes mellitus with hyperglycemia |
15 | E871 | Hypo-osmolality and hyponatremia |
16 | N170 | Acute kidney failure with tubular necrosis |
17 | D696 | Thrombocytopenia, unspecified |
18 | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease |
19 | I214 | Non-ST elevation (NSTEMI) myocardial infarction |
20 | G92 | Toxic encephalopathy |
21 | Z794 | Long term (current) use of insulin |
22 | E8339 | Other disorders of phosphorus metabolism |
23 | E6601 | Morbid (severe) obesity due to excess calories |
24 | D638 | Anemia in other chronic diseases classified elsewhere |
25 | J90 | Pleural effusion, not elsewhere classified |
26 | G8929 | Other chronic pain |
27 | E43 | Unspecified severe protein-calorie malnutrition |
28 | G9341 | Metabolic encephalopathy |
29 | E669 | Obesity, unspecified |
30 | I130 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
31 | G4733 | Obstructive sleep apnea (adult) (pediatric) |
32 | I480 | Paroxysmal atrial fibrillation |
33 | I739 | Peripheral vascular disease, unspecified |
34 | E875 | Hyperkalemia |
35 | R6521 | Severe sepsis with septic shock |
36 | G9340 | Encephalopathy, unspecified |
37 | Z951 | Presence of aortocoronary bypass graft |
38 | E870 | Hyperosmolality and hypernatremia |
39 | I482 | Chronic atrial fibrillation |
40 | K5900 | Constipation, unspecified |
41 | F17210 | Nicotine dependence, cigarettes, uncomplicated |
42 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
43 | E876 | Hypokalemia |
44 | N183 | Chronic kidney disease, stage 3 (moderate) |
45 | J9601 | Acute respiratory failure with hypoxia |
46 | I5032 | Chronic diastolic (congestive) heart failure |
47 | I252 | Old myocardial infarction |
48 | D649 | Anemia, unspecified |
49 | N179 | Acute kidney failure, unspecified |
50 | E872 | Acidosis |