Lower respiratory tract infection, acute infectious: Difference between revisions

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 {{ICD10 transition status
-| OldDxArticle =Other Problems| CurrentStatus = freshly automatically generated article
+| OldDxArticle = Tracheobronchitis <!-- not Bronchitis, that's retired -->
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Lori Lovell
-| MinimumCombinedCodes =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes = 2
 | ICD10 Code=J22
-| BugRequired=
+| BugRequired= required
 }}
+{{ICD10 category|Respiratory}}{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Lower respiratory tract infection}}
-{{ICD10 category|Respiratory}}{{ICD10 category|ENT}}
 == Additional Info ==
-incl bronchitis, bronchiolitis {sc:pneumonia}
+Includes '''ACUTE infectious''':
+:1) Bronchitis -- inflammation of the bronchi, in this case due to infection
+:2) Bronchiolitis -- inflammation of the bronchioles (small, distal bronchi), in this case due to infection
+:*But it does not include [[Bronchiolitis obliterans organizing pneumonia (BOOP, cryptogenic organizing pneumonia  (COP))]], which is an immune-mediated, not infectious, entity
+:3) Tracheobronchitis,
+*Any combination of #1, #2 and #3
-== Alternate ICD10s to consider coding instead ==
+*The could be confusion about what is "upper" vs. "lower" respiratory.
-(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
+**Remember from top to bottom, the anatomy is:  oropharynx --> larynx --> trachea --> main carina --> bronchi --> smaller bronchi and then bronchioles --> alveoli.
-{sc:pneumonia}
+**For ICD10 coding, the answer is anything above and including the main carina at the bottom of the trachea is "upper" and everything below that is "lower".  So, while a pure tracheitis or laryngitis is upper, a tracheobronchitis includes part of lower airway and thus is categorized as lower.
+'''Excludes''':
+*[[:Category:Pneumonia|PNEUMONIA]]
+*[[Laryngitis or tracheitis, acute]]
+*[[Upper respiratory infection, acute NOS]]
+*Regarding chronic infections of lower respiratory tract:
+**For involvement limited to airways/bronchi, use one of:
+***[[Bronchitis, chronic, infectious or noninfectious]]
+***[[Bronchitis, acute or chronic not specified, infectious or noninfectious]]
+**For chronic alveolar infection (i.e. pneumonia) there is NOT a specific distinction in the codes between acute and chronic.  HOWEVER, true chronic pneumonias are rare in immunocompetent patients unelss they're due to indolent bugs, such as certain fungi, parasites, and TB.
+== Alternate ICD10s to consider coding instead or in addition ==
+*[[Bronchitis, acute or chronic not specified, infectious or noninfectious]] (lower respiratory problem)
+*[[Bronchitis, chronic, infectious or noninfectious]] (lower respiratory problem)
+*[[Disorder of upper respiratory tract, infectious or noninfectious NOS]]
+*[[Upper respiratory infection, acute NOS]]
+{{ListICD10Category | categoryName = pneumonia}}
+{{ListICD10Category | categoryName = Lower respiratory tract infection}}
 == Candidate [[Combined ICD10 codes]] ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+{{ICD10 Guideline Infection}}
+== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
+{{ICD10 footer}}
+{{EndPlaceHolder}}