Edit ICD10 dx: Bacteremia

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{{ICD10 transition status | OldDxArticle =Septicemia | CurrentStatus = reconciled | InitialEditorAssigned = Allyson Alcudia }} == Additional Info == *[[Bacteremia]] is a clearcut entity, which means '''bacteria circulating in the blood, and not due to contaminated blood culture'''. [[#Bacteremia is '''not''' a blind replacement for septicemia!]] *NOTE: Bacteremia is a finding, not a specific disease. And even though the general rule is that coding findings/signs/symptoms is optional when the underlying cause is known, you should ALWAYS specifically code bactermia when present **Furthermore, at the discretion of the data collector, they can be coded as [[Combined ICD10 codes]] with another presumed infection (e.g. 1.Pneumonia with Klebsiella as the bug + 2.Bacteremia with Klebsiella as the bug), but if it’s not completely clear that those two infections are related to each other, then still code them both of course, but don't 1 and 2 together. **When a patient has septic shock with bactermia you should code both -- and link them together if the same bug is responsible for both. === Bacteremia is '''not''' a blind replacement for old septicemia dx! === The word "septicemia" is and always has been confusing, if not completely meaningless. It has been used both to mean [[pathogens]] in the blood (which is [[bacteremia]] or [[Fungemia, NOS]]), to mean toxic products of bugs in the blood (such as LPS or endotoxin which cause some of the clinical manifestations of [[Severe sepsis]]/[[Shock, septic]]), and to mean [[sepsis]] or [[Shock, septic]]. So going forward we don't need or want a replacement for that vague entity "septicemia". {{ICD10 Guideline repeated events}} == Alternate ICD10s to consider coding instead or in addition == *[[Shock, septic]] *[[Severe sepsis]] *[[Sepsis (SIRS due to infection, without acute organ failure)]] *Any infection that is the source of this bacteremia. *[[Fungemia, NOS]] *[[Bacterial infection, NOS]] *[[Fever or fever of unknown origin (FUO)]] == Candidate [[Combined ICD10 codes]] == {{ICD10 Guideline Infection}} *Code the organism *Others, as mentioned above. == Related CCI Codes == {{Data Integrity Check List}} == Related Articles == {{Related Articles}} {{ICD10 footer}} {{EndPlaceHolder}}

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