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| The ICD10 buglist contains specific codes for a number of different bacteria, viruses, fungi/yeast, mycobacteria and miscellaneous types of organisms. | | The [[ICD10 Diagnosis List]] contains specific codes for a number of different bacteria, viruses, fungi/yeast, mycobacteria and miscellaneous types of organisms. The entire list can be found in category and subcategories: |
| | {{subcat collapsible|supercategory = Pathogens}} |
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| Pathogens are coded as their own diagnosis codes: | | Pathogens are coded as their own diagnosis codes: |
| {{ListICD10Category | categoryName = Pathogens}} | | {{ListICD10Category | categoryName = Pathogens}} |
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| They are enterd as [[Combined ICD10 codes]] with those diagnoses that require them: | | They are always entered as [[Combined ICD10 codes]] with an [[Infections in ICD10|infection]], but not all infections require pathogens. See [[Template:ICD10 Guideline Infection]], [[Infections in ICD10]] for more info. |
| {{ListICD10Category | categoryName = Infection requiring pathogen}}
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| They can also be coded with diagnoses that can potentially have a pathogen, but don't require one: Potential infection
| | Information about pathogens can be found in the patient's chart's [[Lab and culture reports]]; see that page for specific use instructions. |
| {{ListICD10Category | categoryName = Potential infection}}
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| == Culture reports == | | == NOS pathogens == |
| Pathogens should only be coded if they have been lab confirmed. {{discussion}} is that true? how about suspected and treated...?
| | *In each of those categories there are a number of specific bugs with their own codes (e.g. B95.3 is Strep pneumoniae) |
| | *But obviously we can't list every bug of any type, so for each of those categories there is also a "wastebasket" code for "NOS". For example, if the bug is a specific bacteria but it's not in our list, then use [[Bacteria, NOS]], etc. These are: |
| | **[[Bacteria, NOS]] |
| | **[[Virus, NOS]] |
| | **[[Fungus or yeast, NOS]] |
| | **[[Nontuberculous mycobacteria]] |
| | **[[Other type of infectious organism, NOS]] |
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| Follow up all culture reports '''up to 5 days after discharge from unit'''. If pathogen is still not available then, enter [[Unknown Pathogen]].
| | === NOS vs Unknown in the context of pathogens === |
| | | *We must distinguish '''NOS''' from '''unknown'''. |
| Waiting for lab microbiology results:(5 days usual for blood cultures, 2 week for Cadham)
| | **''NOS'' means that we do know the bug, but it's not in our list of specific pathogens |
| | | **''[[Infectious organism, unknown]]'' means we assume that there IS in fact a pathogen, but we have no idea about it's actual identity. |
| == Wastebasket codes ==
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| If you don't see the specific organism in your case, then there are wastebasket codes:
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| *[[Bacteria, NOS]] | |
| *[[Virus, NOS]] | |
| *[[Fungus or yeast, NOS]]
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| *[[Nontuberculous mycobacteria]] | |
| *[[Infectious disease NOS OR for buglist organism NOS]] (when you don't have any idea even what type of bug it is) | |
| * [[Not an Infection (ICD10 pathogen alternative)]] - included for now, not sure yet if it will be used to cross check pathogens {{ICD10|needs review}}.
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| === Special Codes === | | === Special Codes === |
| * {{ICD10|needs review}} We used to have a code [[No Culture Sent or Resulted]] ; if we want cross-checks requiring this to be filled in we will need some sort of counterpart to that. Ttenbergen 20:03, 2017 December 3 (CST) | | * [[Not an Infection (ICD10 pathogen alternative)]] - included for [[cross check]]s when entering [[:Category:Potential infection]]s |
| | | * [[Infectious organism, unknown]] - eg for negative culture |
| == {{CCMDB Data Integrity Checks|needs review}} ==
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| Will need review with move to [[ICD10]]. {{ICD10|needs review}}
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| See [[Check Infections must have pathogens]]
| | {{Data Integrity Check List}} |
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| == Related Articles == | | == Related Articles == |
| {{Related Articles}} | | {{Related Articles}} |
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| [[Category: ICD10]] | | [[Category:ICD10]] |
| [[Category: Infection]]
| | [[Category:Pathogens| *]] |
| [[Category: Pathogens|*]] | | [[Category:Infectious disease| *]] |
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| ----
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| = Old coding =
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| The '''pathogens''' are a list of possible entries that make up the sub-code for diagnoses categorized as [[:Category: Infection | Infection]].
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| *Refer to: [[UPL]] - [[Universal Pathogen List]], for a list of "bugs" we track.
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| *The pathogen subcodes are drawn from the '''[[table S_Pathogens]]''' table in [[CCMDB.mdb]].
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| == Culture reports (old) ==
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| Follow up all culture reports '''up to 5 days after discharge from unit'''. If pathogen is still not available then, enter [[Unknown Pathogen]].
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| === Special Codes ===
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| *[[No Culture Sent or Resulted]]
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| *[[Unknown Pathogen]]
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| Could someone please fill in specifics about how or when these are to be used? Specifically, if we know specific bugs, are there any that should be coded implicitly even if there are others (ie precedence rules)?
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| == Coding when antibiotics are given but no cultures ==
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| If there is evidence of an ongoing infection, even if no further culture code the previous pathogen.
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| If no culture is sent then we choose the subcode [[No Culture Sent or Resulted]]
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| [[Category: UPL]]
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| [[Category: Infection|*]] | |
| [[Category: Diagnosis Coding]]
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