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.tracheobronchitis.org/
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]


== new code ==
= Pre ICD10 instructions =
{{discussion}}
== Coding Instructions ==
* The minutes said ''"There was followup discussion about coding bronchitis/tracheobronchitis. '''The resolution was creation of a new diagnostic code, which includes delineation of the organism.'''  Note taken that this does not distinguish whether this infection was nosocomial or not."'' Which code should be created? Ttenbergen 13:06, 2013 July 15 (CDT)
* 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 ==
== 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.'''
'''See [[Bronchitis#Legacy Information]] for more info.'''
[[Category:Infection (old)]][[Category:Influenza (old)]]

Latest revision as of 12:05, 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:Disorder of upper respiratory tract, infectious or noninfectious NOS, Upper respiratory infection, acute NOS, Influenza without pneumonia but with other respiratory manifestations

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Respiratory Problems (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Tracheobronchitis
Sub Diagnosis: see UPL
Diagnosis Code: 9200 - Tracheobronchitis
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status:


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

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 virus. If negative nasal swab, then must be confirmed with Cadham lab result before coded as influenza related.

Background Info

Legacy information

This code replaces 3005 - Bronchitis as of 2013 May 31. See Bronchitis#Legacy Information for more info.

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