Infections in ICD10: Difference between revisions
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Infections in ICD10 are coded somewhat inconsistently. There are [[#Diagnoses where the pathogen is implied]] and [[#Diagnoses where the pathogen must be coded separately]]. [[#Coding Antibiotic Resistance]] should also be done when there is one. | Infections in ICD10 are coded somewhat inconsistently. There are [[#Diagnoses where the pathogen is implied]] and [[#Diagnoses where the pathogen must be coded separately]]. [[#Coding Antibiotic Resistance]] should also be done when there is one. | ||
== | === [[Dx_Date]] infections in [[Acquired Diagnosis / Complication]] === | ||
*The date we want to use is the date in which the infection first appeared clinically. This can be a very difficult determination, and may include consideration of: | *The date we want to use is the date in which the infection first appeared clinically. This can be a very difficult determination, and may include consideration of: | ||
**Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc) | **Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc) | ||
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**Thus, as usual, you must use your clinical judgment to decide when the infection first showed up. | **Thus, as usual, you must use your clinical judgment to decide when the infection first showed up. | ||
=== Untreated positive cultures === | |||
=== Untreated positive cultures | |||
*Probably the most common of these is urine and sputum. | *Probably the most common of these is urine and sputum. | ||
*How to code these depends on what the clinical team thinks is true: | *How to code these depends on what the clinical team thinks is true: | ||
**If they're not treating because they think it's NOT an infection and instead is colonization, then code it as one or the other of: | **If they're not treating because they think it's NOT an infection and instead is colonization, then code it as one or the other of: [[Colonized with organism (not infected)]] and/or something like [[Urine tests, NOS, abnormal]] | ||
**If on the other hand, they just failed (permanently, or temporarily) to treat what became apparent later to be a real infection, then code it as an infection. | **If on the other hand, they just failed (permanently, or temporarily) to treat what became apparent later to be a real infection, then code it as an infection. | ||
=== | === Coding when main dx may or may not be an infection === | ||
Our program [[Query check ICD10 Inf Infection req Pathogen must have one|requires infections to have a pathogen]], and [[query Check_Inf_Pathogens_must_have_Infection_requiring_pathogen_or_Potential_Infection|does not allow pathogens for non-infections]]. Many of our "wastebasket" [[NOS]] codes could be used for infections and non-infections. In order to be able to code an infection with one of these, you must also code [[Infectious disease NOS]] and the [[Pathogen]] as [[Combined ICD10 codes]]. | |||
== Coding | === Coding when the pathogen isn't clear (yet) === | ||
See [[Lab and culture reports]] for where to find pathogen info. | |||
== | If you don't get a presumptive pathogen and it's not a situation which relates to '''[[Infection with implied pathogen]]''', you should then use '''[[Infectious organism, unknown]]'''.'' | ||
=== Other related information === | |||
* [[Abscess coding guideline for ICD10]] | |||
* [[Antibiotic Resistant Organism]] (it's is combined-coded) | |||
* [[Lab and culture reports]] | |||
* [[Template:ICD10 Guideline Iatrogenic]] | |||
* [[Attribution of infections]] | |||
==Cross Checks== | ==Cross Checks== | ||
{{Data Integrity Check List|}} | {{Data Integrity Check List|}} | ||
[[Category: | == Related articles == | ||
{{Related Articles}} | |||
[[Category:Infectious disease| *]] | |||