Bladder, cystitis, acute infectious: Difference between revisions
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{{ICD10 dx | |||
|ICD10 Code=N30.0 | |||
|BugRequired=required | |||
}} | |||
{{ICD10 category|Renal/urinary}} | |||
{{ICD10 category|Infection requiring pathogen}} | |||
{{ICD10 category|Infectious disease}} | |||
{{ICD10 category|Urinary tract infection}} | |||
{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle = Cystitis (Bladder Infection) | | OldDxArticle = Cystitis (Bladder Infection) | ||
Line 4: | Line 12: | ||
| InitialEditorAssigned = Michelle Lagadi | | InitialEditorAssigned = Michelle Lagadi | ||
}} | }} | ||
== Additional Info == | == Additional Info == | ||
*Contrary to a previous Wiki rule, code this if present even IF NOT BEING TREATED (e.g. as might occur in a palliative situation, or when the bug is resistant to everything). | |||
**But the subtlety here is that it's hard to distinguish whether asymptomatic bacteruria is really an infection or just a colonization, as follows: In a pt with '''bacteruria without symptoms''' (asymptomatic bacteruria) clinicians need to make a decision about whether they think an actual infection is present or not. The reasons is that even clean-catch urine is not truly sterile even in the absence of an actual infection. Thus, if left on the counter at room temp for long enough, any urine specimen will grow 10<sup>7</sup> colonies per mL and thus be flagged as a possible UTI. If the clinician decides that this asymptomatic bacteruria is NOT an infection, then we shouldn't code it as such. This isn't just nomenclature --- in this case it was felt that no UTI was actually present. | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
* | * {{ICD10WithCode|Bladder, cystitis, chronic}} (incl interstitial) | ||
* | * {{ICD10WithCode|Bladder, cystitis NOS}} | ||
* | * {{ICD10WithCode|Bladder, cystitis, radiation-induced}} | ||
* | * {{ICD10WithCode|Hemoglobinuria}} | ||
* | * {{ICD10WithCode|Iatrogenic, infection, urinary catheter}} | ||
* | * {{ICD10WithCode|Kidney infection, acute (pyelonephritis)}} | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == |
Latest revision as of 12:44, 2020 March 11
ICD10 Diagnosis | |
Dx: | Bladder, cystitis, acute infectious |
ICD10 code: | N30.0 |
Pre-ICD10 counterpart: | Cystitis (Bladder Infection) |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | 2019-0: Renal/Metabolic NOS, 2019-0: Metabolic/Renal NOS |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- Contrary to a previous Wiki rule, code this if present even IF NOT BEING TREATED (e.g. as might occur in a palliative situation, or when the bug is resistant to everything).
- But the subtlety here is that it's hard to distinguish whether asymptomatic bacteruria is really an infection or just a colonization, as follows: In a pt with bacteruria without symptoms (asymptomatic bacteruria) clinicians need to make a decision about whether they think an actual infection is present or not. The reasons is that even clean-catch urine is not truly sterile even in the absence of an actual infection. Thus, if left on the counter at room temp for long enough, any urine specimen will grow 107 colonies per mL and thus be flagged as a possible UTI. If the clinician decides that this asymptomatic bacteruria is NOT an infection, then we shouldn't code it as such. This isn't just nomenclature --- in this case it was felt that no UTI was actually present.
Alternate ICD10s to consider coding instead or in addition
- Bladder, cystitis, chronic (N30.2) (incl interstitial)
- Bladder, cystitis NOS (N30.9)
- Bladder, cystitis, radiation-induced (N30.4)
- Hemoglobinuria (R82.3)
- Iatrogenic, infection, urinary catheter (T83.5)
- Kidney infection, acute (pyelonephritis) (N10)
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
App | Status | |
---|---|---|
Query check ICD10 Inf Infection req Pathogen must have one | CCMDB.accdb | implemented |
Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
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