Bacteremia: Difference between revisions

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{{ICD10 transition status

| OldDxArticle =Septicemia| CurrentStatus = ~~manually added for testing~~

| OldDxArticle =Septicemia

| CurrentStatus = reconciled

| InitialEditorAssigned = Allyson Alcudia

~~| MinimumCombinedCodes =~~

}}

{{ICD10 dx

| MinimumCombinedCodes = 2

| ICD10 Code=A49.9

| BugRequired=

| BugRequired= required

}}

{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Testing}}{{ICD10 category| Symptom/Sign}}

== 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".

~~== Alternate ICD10s to consider coding instead ==~~

~~(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)~~

== 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]] ==

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

*Code the organism

*Others, as mentioned above.

== Related CCI Codes ==

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =Septicemia| CurrentStatus = manually added for testing
+| OldDxArticle =Septicemia
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Allyson Alcudia
-| MinimumCombinedCodes =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes = 2
 | ICD10 Code=A49.9
-| BugRequired=
+| BugRequired= required
 }}
+{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Testing}}{{ICD10 category| Symptom/Sign}}
-{{ICD10 category|Infectious disease}}{{ICD10 category|Skin}}{{ICD10 category|Reproductive}}
 == 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".
-== Alternate ICD10s to consider coding instead ==
+{{ICD10 Guideline repeated events}}
-(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
+== 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]] ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+{{ICD10 Guideline Infection}}
+*Code the organism
+*Others, as mentioned above.
+== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
+{{ICD10 footer}}
+{{EndPlaceHolder}}