Tracheobronchitis: Difference between revisions

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

{{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 | | | }}

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

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

~~As per July 11, 2013 Task meeting~~: ~~this code does~~ not ~~distinguish whether infection~~ is ~~nosocomial or~~ not.

[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.

~~How do we code the flu~~?

=== 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.

~~we don't have a code for FLU.~~

~~The "flu" is an upper respiratory track infection (URTI). Code as Tracheobronchitis.--CMarks 11:51, 2015 May 6~~

Do not code as a CAP unless there is supporting evidence such CXR changes ~~and~~ positive culture ~~swab~~ from ~~cadham lab. --CMarks 11:58, 2015 May 6 (CDT)Trish Ostryzniuk 14:46, 2015 May 6 (CDT)~~

~~See: Disseminated Infection due to influenza~~

~~is extremely rare and there should be a positive swab~~. ~~(as per Dr. Garland)--CMarks 11:50, 2015 May 6 (CDT)~~

If there are other organs that are suspected to be infected with influenza (ie. viral myocarditis, with 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). --LKolesar 10:39, 2015 February 4 (CST)

~~See: Gastroenteritis for stomach flu~~

~~See: Pathogen Influenza virus~~

=== 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.

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

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

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

@@ Line 1: / Line 1: @@
-{{DX tag | Respiratory | [[:Category: Infection | Infection]] | Tracheobronchitis | see [[UPL]] | [[9200 - Tracheobronchitis]]  | No | 0 | CC & Med | |  | }}
+{{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 | |  | }}
-See also [http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/infectious-disease/upper-respiratory-tract-infection/ www.tracheobronchitis]
+Influenza ''(also known as the flu)'' is a contagious upper respiratory infection (URTI) caused by flu viruses.
-As per July 11, 2013 Task meeting: this code does not distinguish whether infection is nosocomial or not.
+[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.
-How do we code the flu?
+=== 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.
-we don't have a code for FLU.
-The "flu" is an upper respiratory track infection (URTI). Code as Tracheobronchitis.--CMarks 11:51, 2015 May 6
-Do not code as a CAP unless there is supporting evidence such CXR changes and positive culture swab from cadham lab. --CMarks 11:58, 2015 May 6 (CDT)Trish Ostryzniuk 14:46, 2015 May 6 (CDT)
-See: Disseminated Infection due to influenza
-is extremely rare and there should be a positive swab. (as per Dr. Garland)--CMarks 11:50, 2015 May 6 (CDT)
-If there are other organs that are suspected to be infected with influenza (ie. viral myocarditis, with 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). --LKolesar 10:39, 2015 February 4 (CST)
-See: Gastroenteritis for stomach flu
-See: Pathogen Influenza virus
+=== 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.
+This code replaces 3005 - [[Bronchitis]] as of 2013 May 31.
 '''See [[Bronchitis#Legacy Information]] for more info.'''
+[[Category:Infection (old)]][[Category:Influenza (old)]]