ICD10 Guideline COVID: Difference between revisions
Ttenbergen (talk | contribs) m updated to reinstate previous collection practice and change date so we can make sense of this data in the future |
Ttenbergen (talk | contribs) m Text replacement - "[[Category: " to "[[Category:" |
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=== 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 === | ||
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** 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 === | ||
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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 == | ||
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{{Related Articles}} | {{Related Articles}} | ||
[[Category: ICD10 Coding Guidelines]] | [[Category:ICD10 Coding Guidelines]] | ||