ICD10 Guideline COVID: Difference between revisions
Ttenbergen (talk | contribs) m →Presumed infections =: yes same instructions still |
Ttenbergen (talk | contribs) m Text replacement - "[[Category: " to "[[Category:" |
||
| (9 intermediate revisions by 3 users not shown) | |||
| Line 17: | Line 17: | ||
=== Coding asymptomatic infection === | === Coding asymptomatic infection === | ||
Combine [[COVID-19 (SARS-COV-2)]] with [[Carrier of infectious disease, unspecified]] <!-- as discussed at Task meeting November 18, 2020 --> | * Combine [[COVID-19 (SARS-COV-2)]] with [[Carrier of infectious disease, unspecified]] <!-- as discussed at Task meeting November 18, 2020 --> | ||
* To code muscle weakness due to an active Covid infection, where this the only evidence of the infection, use codes: [[Muscle, wasting/atrophy NOS]], with [[COVID-19 (SARS-COV-2)]], and [[Carrier of infectious disease, unspecified]] | |||
{{Collapsable | |||
| always = changed 2023-02-02 | |||
| full = | |||
When there are both Asymptomatic and Symptomatic COVID19 in admit diagnosis, the symptomatic covid supercedes the asymptomatic and do not code the asymptomatic COVID19 anymore. When both happens as acquired diagnosis, consider the order of occurrence - if first has asymptomatic COVID19 then after two days has symptomatic COVID19, keep both. If the case is having a Symptomatic COVID19 first then later has Asymptomatic COVID, no need to code the Asymptomatic. If symptomatic COVID19 in admit, and asymptomatic COVID19 in acquired or vice versa, keep both codes. | |||
}} | |||
===Coding of Suspected COVID infections=== | |||
=== Suspected infections being confirmed POSITIVE or NEGATIVE === | |||
* If a suspected infection becomes confirmed, remove this code and replace it with the relevant infection code | |||
* If a suspected infection test comes back negative, delete the code '''unless that code was the only reason for admission, in which case leave it in''' | |||
* ALSO, do NOT use this combination of codes for each COVID swab sent, as this represents a diagnosis, not a procedure. | |||
=== Coding hospital acquired COVID === | === Coding hospital acquired COVID === | ||
Add [[Nosocomial_infection,_NOS]] to what you would already code for this infection (ie might be different if symptomatic or not, or suspected etc, use the rules described elsewhere for that part). | Add [[Nosocomial_infection,_NOS]] to what you would already code for this infection (ie might be different if symptomatic or not, or suspected etc, use the rules described elsewhere for that part). | ||
=== Post-COVID === | |||
* If there are sequelae, consider coding [[Post COVID-19 condition]] | |||
* If the condition is resolved, consider coding [[Past history of Covid-19 infection]] | |||
=== Primary Admit Dx considerations === | === Primary Admit Dx considerations === | ||
| Line 26: | Line 44: | ||
** it's only the primary if it meets the criteria in [[Primary Admit Diagnosis]], e.g. if they also have a stroke or trauma COVID might not be related to primary at all | ** it's only the primary if it meets the criteria in [[Primary Admit Diagnosis]], e.g. if they also have a stroke or trauma COVID might not be related to primary at all | ||
** code the infection (e.g. [[Pneumonia, viral]]) as primary, not the pathogen | ** code the infection (e.g. [[Pneumonia, viral]]) as primary, not the pathogen | ||
** For those patients that have an active infection where the ONLY symptom is muscle weakness, ie. no respiratory symptoms code [[Viral infection, NOS]] with [[COVID-19 (SARS-COV-2)|COVID-19]] and [[Muscle, wasting/atrophy NOS]] | |||
=== Coding of [[Pneumonia, bacterial]] in the context of COVID === | === Coding of [[Pneumonia, bacterial]] in the context of COVID === | ||
| Line 39: | Line 58: | ||
=== Uncertain cases === | === Uncertain cases === | ||
==== Coding Suspected infection ==== | ==== Coding Suspected infection ==== | ||
No special rules apply for coding suspected infections for COVID. Follow the normal [[Admit Diagnosis]] and [[Acquired Diagnosis]] guidelines, as well as [[Isolation, infectious]] if applicable. | |||
This | {{Collapsable | ||
| always = changed 2022-09-07 | |||
| full = | |||
Previously we had coded COVID suspect records by [[COVID-19 (SARS-COV-2)]] with [[Observation for suspected infection NOS]] linked with the same number (don’t link it with any other infection code if not confirmed), and '''left the code in, even if they later come up as a negative'''. This was coded on admission (if applicable) but subsequent swabs sent during the admission should not be coded as acquired diagnosis, unless the Swab is positive, then follow the usual guidelines for coding an acquired infection. | |||
}} | |||
==== Presumed infections ===== | ==== Presumed infections ===== | ||
| Line 48: | Line 71: | ||
==== Delayed lab results ==== | ==== Delayed lab results ==== | ||
* I patient dies or is discharged with their COVID-19 lab test still pending, follow the usual rules i.e: [[Lab_and_culture_reports#How_long_to_wait_for_a_result]] or [[Attribution of infections]] | * I patient dies or is discharged with their COVID-19 lab test still pending, follow the usual rules i.e: [[Lab_and_culture_reports#How_long_to_wait_for_a_result]] or [[Attribution of infections]] | ||
==== When info about COVID status is found out long after locations are entered ==== | ==== When info about COVID status is found out long after locations are entered ==== | ||
No special rules for COVID, just use the normal [[Admit Diagnosis]] & [[Acquired Diagnosis]] rules. | No special rules for COVID, just use the normal [[Admit Diagnosis]] & [[Acquired Diagnosis]] rules. | ||
== [[Boarding Loc]] coding == | == [[Boarding Loc]] coding == | ||
| Line 64: | Line 82: | ||
{{Related Articles}} | {{Related Articles}} | ||
[[Category: ICD10 Coding Guidelines]] | [[Category:ICD10 Coding Guidelines]] | ||