Tracheobronchitis: Difference between revisions

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{{DX tag | Respiratory | ~~[[:Category: Infection~~ | ~~Infection]] | Infection~~ | see [[UPL]] | [[9200 - Tracheobronchitis]] | No | 0 | CC & Med | | | }}''~~Notes~~: ''

{{PreICD10 dx| NewDxArticle = Influenza without pneumonia but with other respiratory manifestations}}

{{PreICD10 dx| NewDxArticle = Disorder of upper respiratory tract, infectious or noninfectious NOS}}

{{PreICD10 dx| NewDxArticle = Upper respiratory infection, acute NOS}}

{{DX tag | Respiratory Problems| Medical Problem | Tracheobronchitis | see [[UPL]] | 9200 - Tracheobronchitis | No | 0 | CC & Med | | | }}

Influenza ''(also known as the flu)'' is a contagious upper respiratory infection (URTI) caused by flu viruses.

[https://www.webmd.com/cold-and-flu/flu-guide/stomach-flu-not-influenza#1 stomach flu is not influenza]

= Pre ICD10 instructions =

== Coding Instructions ==

* we don't have a code for "flu".

* code as: [[Tracheobronchitis]] with '''pathogen subcode''' - '''[[Influenza virus]]'''

**must be have '''positive culture''' '''nasal swab culture.''' If negative nasal swab, then must be confirmed with Cadham lab result before coded as influenza related.

=== CAP? ===

Do not code as a [[CAP]] due to an [[Influenza virus]] unless there is supporting evidence such CXR changes AND a '''positive culture''' from Cadham Lab.

=== Disseminated Infection ===

A [[Disseminated Infection]] due to a flu virus is '''extremely rare'''. If there are '''other organs''' that are suspected to be infected with influenza (ie. viral [[Myocarditis]]., etc) plus you have a positive influenza swab then you can use [[Disseminated Infection]] as the diagnostic code with [[Influenza virus]] as the pathogen. (This directive was given by Dr. Kumar).

=== Septic Shock ===

If patient has [[Septic Shock]] or [[Severe Sepsis]] code results of '''blood culture''' sent if one has been sent.

*Code tracheobronchitis if '''nasal swab is positive for [[Influenza in ICD10 | Influenza virus]].''' If negative nasal swab, then must be confirmed with Cadham lab result before coded as influenza related.

== Background Info ==

* [http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/infectious-disease/upper-respiratory-tract-infection/ www.tracheobronchitis]

* our code does not distinguish whether infection is nosocomial or not

== Legacy information ==

This code replaces 3005 - [[Bronchitis]] as of 2013 May 31.

'''See [[Bronchitis#Legacy Information]] for more info.'''

[[Category:Infection (old)]][[Category:Influenza (old)]]

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-{{DX tag | Respiratory | [[:Category: Infection | Infection]] | Infection | see [[UPL]] | [[9200 - Tracheobronchitis]]  | No | 0 | CC & Med | |  | }}''Notes: ''
+{{PreICD10 dx| NewDxArticle = Influenza without pneumonia but with other respiratory manifestations}}
+{{PreICD10 dx| NewDxArticle = Disorder of upper respiratory tract, infectious or noninfectious NOS}}
+{{PreICD10 dx| NewDxArticle = Upper respiratory infection, acute NOS}}
+{{DX tag | Respiratory Problems| Medical Problem | Tracheobronchitis | see [[UPL]] | 9200 - Tracheobronchitis  | No | 0 | CC & Med | |  | }}
+Influenza ''(also known as the flu)'' is a contagious upper respiratory infection (URTI) caused by flu viruses.
+[https://www.webmd.com/cold-and-flu/flu-guide/stomach-flu-not-influenza#1 stomach flu is not influenza]
+= Pre ICD10 instructions =
+== Coding Instructions ==
+* we don't have a code for "flu".
+* code as: [[Tracheobronchitis]] with '''pathogen subcode''' - '''[[Influenza virus]]'''
+**must be have '''positive culture''' '''nasal swab culture.'''   If negative nasal swab, then must be confirmed with Cadham lab result before coded as influenza related.
+=== CAP? ===
+Do not code as a [[CAP]] due to an [[Influenza virus]] unless there is supporting evidence such CXR changes AND a '''positive culture''' from Cadham Lab.
+=== Disseminated Infection ===
+A [[Disseminated Infection]] due to a flu virus is '''extremely rare'''. If there are '''other organs''' that are suspected to be infected with influenza (ie. viral [[Myocarditis]]., etc) plus you have a positive influenza swab then you can use [[Disseminated Infection]] as the diagnostic code with [[Influenza virus]] as the pathogen.  (This directive was given by Dr. Kumar).
+=== Septic Shock ===
+If patient has [[Septic Shock]] or [[Severe Sepsis]] code results of '''blood culture''' sent if one has been sent.
+*Code tracheobronchitis if '''nasal swab is positive for [[Influenza in ICD10 | Influenza virus]].'''  If negative nasal swab, then must be confirmed with Cadham lab result before coded as influenza related.
+== Background Info ==
+* [http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/infectious-disease/upper-respiratory-tract-infection/ www.tracheobronchitis]
+* our code does not distinguish whether infection is nosocomial or not
+== Legacy information ==
+This code replaces 3005 - [[Bronchitis]] as of 2013 May 31.
+'''See [[Bronchitis#Legacy Information]] for more info.'''
+[[Category:Infection (old)]][[Category:Influenza (old)]]