Bladder, cystitis, acute infectious: Difference between revisions

(20 intermediate revisions by 7 users not shown)

Line 1:

{{ICD10 dx

|ICD10 Code=N30.0

|BugRequired=required

}}

{{ICD10 transition status

| OldDxArticle = Cystitis (Bladder Infection)

| CurrentStatus = ~~freshly automatically generated article~~

| CurrentStatus = reconciled

| InitialEditorAssigned = Michelle Lagadi

~~| MinimumCombinedCodes =~~

}}

~~{{ICD10 dx~~

~~| ICD10 Code=N30.0~~

~~| BugRequired=required~~

}}

~~{{ICD10 category|Renal/urinary}}~~

== 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 ==

* ~~[[Bladder, cystitis, acute infectious]]~~

* {{ICD10WithCode|Bladder, cystitis, chronic}} (incl interstitial)

* [[Bladder, cystitis, chronic]] (incl interstitial)

* {{ICD10WithCode|Bladder, cystitis NOS}}

* [[Bladder, cystitis NOS]]

* {{ICD10WithCode|Bladder, cystitis, radiation-induced}}

* [[Bladder, cystitis, radiation-induced]]

* {{ICD10WithCode|Hemoglobinuria}}

* {{ICD10WithCode|Iatrogenic, infection, urinary catheter}}

* {{ICD10WithCode|Kidney infection, acute (pyelonephritis)}}

== Candidate [[Combined ICD10 codes]] ==

~~(put links to likely candidates coded with this one, eg. a cause for a trauma.)~~

== Related CCI Codes ==

== Related Articles ==

@@ Line 1: / Line 1: @@
+{{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
 | OldDxArticle = Cystitis (Bladder Infection)
-| CurrentStatus = freshly automatically generated article
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Michelle Lagadi
-| MinimumCombinedCodes =
 }}
-{{ICD10 dx
-| ICD10 Code=N30.0
-| BugRequired=required
-}}
-{{ICD10 category|Renal/urinary}}
 == 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 ==
-* [[Bladder, cystitis, acute infectious]]
+* {{ICD10WithCode|Bladder, cystitis, chronic}} (incl interstitial)
-* [[Bladder, cystitis, chronic]] (incl interstitial)
+* {{ICD10WithCode|Bladder, cystitis NOS}}
-* [[Bladder, cystitis NOS]]
+* {{ICD10WithCode|Bladder, cystitis, radiation-induced}}
-* [[Bladder, cystitis, radiation-induced]]
+* {{ICD10WithCode|Hemoglobinuria}}
+* {{ICD10WithCode|Iatrogenic, infection, urinary catheter}}
+* {{ICD10WithCode|Kidney infection, acute (pyelonephritis)}}
 == Candidate [[Combined ICD10 codes]] ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}