Influenza in ICD10: Difference between revisions

TOstryzniuk (talk | contribs)
Coding other infections caused by influenza virus: moving this to Influenza virus NOS -- should almost never be used and linking since it is more likely to be found there.
 
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{{ICD10 coding guideline}}
{{ICD10 coding guideline}}
==ICD10 Diagnosis codes for Influenza==
There are 4 influenza-related codes we're using in ICD10.
*3 code are for actual disease due to influenza: 
**[[Influenza pneumonia]]
**[[Influenza without pneumonia but with other respiratory manifestations]]
**[[Influenza with nonrespiratory manifestations]]
*The 4th has a long & weird name:  '''[[Influenza virus NOS -- should almost never be used]]''' (see more info in that article)
**See: [https://en.wikipedia.org/wiki/Influenza#Types_of_virus Wikipedia for types of virus included]
== Alternate ICD10s to consider coding instead or in addition ==
*[[Haemophilus influenzae (H. flu)]] (this is not an influenza bug)
*[[Parainfluenza virus]] (this is not influenza an bug)
==Identifying the Presence of Influenza==
==Identifying the Presence of Influenza==
*It's not always simple.  The reason is that the value of lab tests in helping us figure out whether a person has influenza depends on:
*It's not always simple.  The reason is that the value of lab tests in helping us figure out whether a person has influenza depends on:
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*We are aware that neither of these approaches are THE TRUTH.  The WRHA definition almost certainly slightly under counts cases, while our ICD10 definition listed above almost certainly slightly over counts cases.
*We are aware that neither of these approaches are THE TRUTH.  The WRHA definition almost certainly slightly under counts cases, while our ICD10 definition listed above almost certainly slightly over counts cases.


== {{CCMDB Data Integrity Checks|needs review}} ==
== Coding other infections caused by influenza virus ==
None yet. Do we need any? Possibly with {{Discussion}}
Use and see [[Influenza virus NOS -- should almost never be used#Coding other infections caused by influenza virus]].
* [[Influenza virus]]
* [[Pharm influenza drugs]]
* Dxs
** old: [[Tracheobronchitis]]
** new (see above)


*caution about putting a cross check with influenza drugs, as there are times when a patient is given the med for ''suspect influenza'' however, the Cadham lab report comes back as ''negative''.
==ICD10 Diagnosis codes for Influenza==
**Best to wait until we have some data to do this. Tina has scheduled review with Julie for 3rd week of November.
There are 4 influenza-related codes we're using in ICD10.
*3 code are for actual disease due to influenza
**[[Influenza pneumonia]]
**[[Influenza without pneumonia but with other respiratory manifestations]]
**[[Influenza with nonrespiratory manifestations]]
*The 4th has a long & weird name:  '''[[Influenza virus NOS -- should almost never be used]]''' (see more info in that article)
**See: [https://en.wikipedia.org/wiki/Influenza#Types_of_virus Wikipedia for types of virus included]


Possible checks:
== Alternate ICD10s to consider coding instead or in addition ==
* if there was a confirmed tmp entry, there has to be a dx
*[[Haemophilus influenzae (H. flu)]] (this is not an influenza [[Pathogens|pathogen]])
** maybe no drug and if DC treat or comfort care?
*[[Parainfluenza virus]] (this is not influenza an [[Pathogens|pathogen]])
* if there is a dx... can't do any cross checks in old dx because tracheobronchitis isn't always influenza, right? Might work with the new dxs, though, they are influenza specific
* if there is a drug... are they ever used for anything else? would coding for influenza go away if lab comes back clean? Might not be able to do anything with the drugs.


== Related Articles ==
== Related Articles ==