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.

=~~= Diagnoses where the pathogen is implied~~ ==

=== [[Dx_Date]] infections in [[Acquired Diagnosis / Complication]] ===

[[~~:category:Infection with implied pathogen|Some~~ infections]] ~~are coded as single codes that imply~~ the ~~pathogen~~:

*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:

~~{{ListICD10Category | categoryName = Infection with implied pathogen}}~~

**Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc)

**Date on which the culture was sent --- but this can be misleading because a culture may not be sent until several days after the symptoms appear.

**Thus, as usual, you must use your clinical judgment to decide when the infection first showed up.

== ~~Diagnoses where the pathogen must be coded separately~~ ==

=== Untreated positive cultures ===

~~[[:category:Infection requiring pathogen|Some infections]] need~~ to ~~be coded as [[Combined ICD10 codes]] of~~ the ~~condition~~ and the ~~pathogen. For example,~~ [[~~Pneumonia, bacterial~~]] and [[~~Streptococcus pneumoniae~~]].

*Probably the most common of these is urine and sputum.

~~{{ListICD10Category | categoryName = Infection requiring pathogen}}~~

*How to code these depends on what the clinical team thinks is true:

~~{{ListICD10Category | categoryName = Pathogens}}~~

**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.

== Coding ~~Antibiotic Resistance~~ ==

=== Coding when main dx may or may not be an infection ===

~~Antibiotic resistance is combined~~-~~coded~~, ~~see~~ [[~~Antibiotic Resistant Organism~~]] ~~for more info~~.

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]].

== ~~Lab confirmation of results~~ ==

=== Coding when the pathogen isn't clear (yet) ===

See [[~~Pathogens#Culture~~ reports]]

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]]'''.''

[[Category:~~Infection~~|*]]

=== 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==

== Related articles ==

[[Category:Infectious disease| *]]

@@ Line 1: / Line 1: @@
-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.
-== Diagnoses where the pathogen is implied ==
+=== [[Dx_Date]] infections in [[Acquired Diagnosis / Complication]] ===
-[[:category:Infection with implied pathogen|Some infections]] are coded as single codes that imply the pathogen:
+*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:
-{{ListICD10Category | categoryName = Infection with implied pathogen}}
+**Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc)
+**Date on which the culture was sent --- but this can be misleading because a culture may not be sent until several days after the symptoms appear.
+**Thus, as usual, you must use your clinical judgment to decide when the infection first showed up.
-== Diagnoses where the pathogen must be coded separately ==
+=== Untreated positive cultures ===
-[[:category:Infection requiring pathogen|Some infections]] need to be coded as [[Combined ICD10 codes]] of the condition and the pathogen. For example, [[Pneumonia, bacterial]] and [[Streptococcus pneumoniae]].
+*Probably the most common of these is urine and sputum.
-{{ListICD10Category | categoryName = Infection requiring pathogen}}
+*How to code these depends on what the clinical team thinks is true:
-{{ListICD10Category | categoryName = Pathogens}}
+**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.
-== Coding Antibiotic Resistance ==
+=== Coding when main dx may or may not be an infection ===
-Antibiotic resistance is combined-coded, see [[Antibiotic Resistant Organism]] for more info.
+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]].
-== Lab confirmation of results ==
+=== Coding when the pathogen isn't clear (yet) ===
-See [[Pathogens#Culture reports]]
+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]]'''.''
-[[Category:Infection|*]]
+=== 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==
+{{Data Integrity Check List|}}
+== Related articles ==
+{{Related Articles}}
+[[Category:Infectious disease| *]]