Z16.12

Z16.12: Extended spectrum beta lactamase (ESBL) resistance

Billable / specific codeICD-10-CM

Z16.12 is a billable, specific ICD-10-CM code for extended spectrum beta lactamase (esbl) resistance. It is valid for submission on a claim.

Check Z16.12 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

Methicillin resistant Staphylococcus aureus infection in diseases classified elsewhere (B95.62)

Excludes1 inherited from the categories above Z16.12

A category’s note binds every code beneath it.

Written on Z16: Resistance to antimicrobial drugs

Methicillin resistant Staphylococcus aureus infection (A49.02)
Methicillin resistant Staphylococcus aureus pneumonia (J15.212)
Sepsis due to Methicillin resistant Staphylococcus aureus (A41.02)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Resistance, resistant›organism›to›drug›extended beta lactamase(ESBL)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z16.1