Septicemia/Bacteremia/Fungemia: Difference between revisions

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Dr Kumar
{{PreICD10 dx | NewDxArticle = Bacteremia }}
We need your input on the following questions.  Thanks kindly.
Question;
1. When a patient has been admitted with urosepsis as an example, and has been determined by the physician to be septicemic and has received antibiotics before the blood cultures have been drawn and thereby affecting the results showing negative culture. Coding criteria for septicemia on p. 10  is defined as “ positive blood cultures".


2. Also, physician are recording the diagnosis of septicemia even when blood cultures are negative (negative cultures even with no antibiotics given pre blood cultures draw).
{{DX tag |Infection | Medical Problem | Septicemia (Bacteremia/Fungemia) | UPL (Universal Pathogen List) | 4600 - Septicemia (Bacteremia/Fungemia) | No | 0 | '''Critical Care and Medicine''' |Currently Collected | |}}
How do you want these patients captured?? Is capturing cystitis with a bug, if found, adequate and septicemia should NOT be coded, or use code septicemia and subcode as “culture negative” if physician is calling it septicemia?
 
If physician records the diagnosis of septicemia and that is their working diagnosis without a positive culture, do we code as septicemia subcode “negative culture”?
==Definition==
3. A similar question in regards to the definitions for severe sepsis, and septic shock if applicable. We have seen people who NOT meet all the criteria, yet they are exhibiting signs of either severe sepsis, or septic shock, and that is what the Dr. has diagnosed and is treating..--JHutton 11:13, 25 June 2008 (CDT)..--[[User:JHutton|JHutton]] 11:13, 25 June 2008 (CDT)[[User:TOstryzniuk|TOstryzniuk]] 11:59, 25 June 2008 (CDT)
'''Septicemia/BACTEREMIA/Fungemia''' , (blood stream infection)-(BSI) means POSITIVE blood culture, (presence of pathogens in blood stream).
 
== Guideline ==
* Positive (+ ve) blood cultures  
* [[Unknown Pathogen]] only used for septicemia if the patient was transferred from a hospital where positive blood cultures were found but it is unclear which organism it was because it was not included in the documentation sent with the patient.   
 
===Physician Recording Septicemia without +ve blood culture ===
*If this happens it is best to ask the physician about this. Usually they mean septic not septicemia because they are still unsure of the source.
* If a source is not identified by cultures then use [[Fever NYD]]
 
=== Alternate dx ===
* [[Severe Sepsis]]
* [[Septic Shock]]
 
[[Category:Sepsis]]

Latest revision as of 11:00, 30 July 2025


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Bacteremia

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category:Infection (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Septicemia (Bacteremia/Fungemia)
Sub Diagnosis: UPL (Universal Pathogen List)
Diagnosis Code: 4600 - Septicemia (Bacteremia/Fungemia)
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected


Definition

Septicemia/BACTEREMIA/Fungemia , (blood stream infection)-(BSI) means POSITIVE blood culture, (presence of pathogens in blood stream).

Guideline

  • Positive (+ ve) blood cultures
  • Unknown Pathogen only used for septicemia if the patient was transferred from a hospital where positive blood cultures were found but it is unclear which organism it was because it was not included in the documentation sent with the patient.

Physician Recording Septicemia without +ve blood culture

  • If this happens it is best to ask the physician about this. Usually they mean septic not septicemia because they are still unsure of the source.
  • If a source is not identified by cultures then use Fever NYD

Alternate dx

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