Colonized with organism (not infected): Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =VRE, ESBL and MRO Colonization | | OldDxArticle = VRE, ESBL and MRO Colonization; MRSA Colonization (without Infection) | ||
| CurrentStatus = | | CurrentStatus = reconciled | ||
| InitialEditorAssigned = | | InitialEditorAssigned = not assigned | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
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== Additional Info == | == Additional Info == | ||
*This code indicates only what it says, colonized BUT NOT INFECTED, with an organism. | *This code indicates only what it says, colonized BUT NOT INFECTED, with an organism. Do not use this code if there is an actual infection (symptomatic or not), for those use the proper infection code. | ||
*If present on admission, code as a [[Comorbid Diagnosis]], not as an [[Admit Diagnosis]]. If applicable, still code [[Isolation, infectious]] in [[CCI Picklist]] . | |||
*We are only tracking colonization with the following organisms that infection prevention and control is interested in: | |||
** MRSA ([https://en.wikipedia.org/wiki/Methicillin-resistant_Staphylococcus_aureus Methicillin-resistant Staphylococcus aureus]) | |||
** CPE ([https://en.wikipedia.org/wiki/Carbapenem-resistant_enterobacteriaceae Carbapenemase-producing enterobacteriaceae]) | |||
** AMR GNB P ([https://wrha.mb.ca/files/ipc-fact-sheet-amr-gnb-e.pdf AMR GNB]) | |||
*There ARE lots of other bugs that can colonize various parts of the body, almost all of which CAN also cause infection. There is a smallish list of bugs that NEVER colonize and are always believed to be active infectious agent, e.g. Mycobacterium TB, Legionella, Ebola, SARS-2 (i.e. COVID-19). | |||
{{ | {{ICD10 Guideline MRSA}} | ||
* | |||
=== No [["set MRSA Colonized" button]] needed === | |||
* Not required as it is still not nearly as common as MRSA. The same rule applies for determining if it is an active infection for all of the colonized organisms, this is within the MRSA template localized infection vs colonization. <!-- [[User:Lkaita|Lisa Kaita]] 10:50, 7 August 2025 (CDT) --> | |||
=== Colonizations are not attributed to any units === | |||
We don't have any reports that attribute colonization to any units, so [[Attribution of infections]] doesn't apply. | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
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== Related CCI Codes == | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 11:13, 12 November 2025
| ICD10 Diagnosis | |
| Dx: | Colonized with organism (not infected) |
| ICD10 code: | Z22 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- This code indicates only what it says, colonized BUT NOT INFECTED, with an organism. Do not use this code if there is an actual infection (symptomatic or not), for those use the proper infection code.
- If present on admission, code as a Comorbid Diagnosis, not as an Admit Diagnosis. If applicable, still code Isolation, infectious in CCI Picklist .
- We are only tracking colonization with the following organisms that infection prevention and control is interested in:
- MRSA (Methicillin-resistant Staphylococcus aureus)
- CPE (Carbapenemase-producing enterobacteriaceae)
- AMR GNB P (AMR GNB)
- There ARE lots of other bugs that can colonize various parts of the body, almost all of which CAN also cause infection. There is a smallish list of bugs that NEVER colonize and are always believed to be active infectious agent, e.g. Mycobacterium TB, Legionella, Ebola, SARS-2 (i.e. COVID-19).
Colonization
You can use the "set MRSA Colonized" button to enter the following:
- Combined code the following as a Comorbid Diagnosis (not as an Admit Diagnosis.
- Enter CCI Picklist Isolation, infectious, likely as Acquired Procedure, but consult Admit Procedure/Acquired Procedure to be sure.
Infection
Combined code the following
- the appropriate code from one of the following
| Infection requiring pathogen codes: |
| Potential infection codes: |
Colonized vs local infection
- If MRSA drawn from an abscess or deep in wound and you think it is causing the "local" infection, else code colonization.
Data Use
Julie reported in 2013 that in the past 2 years there were 2 requests for data related to these variables.
No "set MRSA Colonized" button needed
- Not required as it is still not nearly as common as MRSA. The same rule applies for determining if it is an active infection for all of the colonized organisms, this is within the MRSA template localized infection vs colonization.
Colonizations are not attributed to any units
We don't have any reports that attribute colonization to any units, so Attribution of infections doesn't apply.
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories
|
ICD10 Categories: |