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| The '''pathogens''' are a list of possible entries that make up the sub-code for diagnoses categorized as [[Infections]]. | | The [[ICD10 Diagnosis List]] contains specific codes for a number of different bacteria, viruses, fungi/yeast, mycobacteria and miscellaneous types of organisms. The entire list can be found in category and subcategories: |
| Pathogens are drawn from the '''[[S_Pathogens]]''' table on your PDA and in the [[CCMDB.mdb]]. | | {{subcat collapsible|supercategory = Pathogens}} |
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| == Pathogen Table == | | Pathogens are coded as their own diagnosis codes: |
| *For the most up-to-date list of pathogens, see your PDA or Diagnosis code book. This is the list as of May 08 and for orientation only.
| | {{ListICD10Category | categoryName = Pathogens}} |
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| '''*will update this list with a table.''' (trish pending)
| | They are always entered as [[Combined ICD10 codes]] with an [[Infections in ICD10|infection]], but not all infections require pathogens. See [[Template:ICD10 Guideline Infection]], [[Infections in ICD10]] for more info. |
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| ===Bacteria===
| | Information about pathogens can be found in the patient's chart's [[Lab and culture reports]]; see that page for specific use instructions. |
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| ***g-ve = gram negative | | == NOS pathogens == |
| ***g+ve = gram positive | | *In each of those categories there are a number of specific bugs with their own codes (e.g. B95.3 is Strep pneumoniae) |
| ***R = Rod | | *But obviously we can't list every bug of any type, so for each of those categories there is also a "wastebasket" code for "NOS". For example, if the bug is a specific bacteria but it's not in our list, then use [[Bacteria, NOS]], etc. These are: |
| ***C = coccus | | **[[Bacteria, NOS]] |
| | **[[Virus, NOS]] |
| | **[[Fungus or yeast, NOS]] |
| | **[[Nontuberculous mycobacteria]] |
| | **[[Other type of infectious organism, NOS]] |
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| *Acinetobacter g-ve R | | === NOS vs Unknown in the context of pathogens === |
| *Actinobacillus actinomycetemcomitans g-ve C-B | | *We must distinguish '''NOS''' from '''unknown'''. |
| *Bacteriods fragilis g-ve R | | **''NOS'' means that we do know the bug, but it's not in our list of specific pathogens |
| *Borrelia burgdorferi (Lyme disease)[[http://www.phac-aspc.gc.ca/id-mi/lyme-fs-eng.php]] | | **''[[Infectious organism, unknown]]'' means we assume that there IS in fact a pathogen, but we have no idea about it's actual identity. |
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| *Campylobacter g-ve R
| | === Special Codes === |
| *Citrobacter diversus g-ve R | | * [[Not an Infection (ICD10 pathogen alternative)]] - included for [[cross check]]s when entering [[:Category:Potential infection]]s |
| *Citrobacter feundii g-ve R
| | * [[Infectious organism, unknown]] - eg for negative culture |
| *Clostridium botulinum g+ve R
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| *Clostridium difficle g+ve R
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| *Clostridium perfingens g+ve R
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| *Clostridium tentani g+ve R
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| *Corynebacterium diphtheriae g+ve R
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| *E Coli g-ve R
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| *Enterobacter g-ve R
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| *Enterococcus faecalis g+ve C
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| *Haemophlilus influenzae g-ve R C B
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| *Haemophilus ducreyi g-ve R
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| *Haemophilus parainfluenzae g-ve R | |
| *Kebsiella pneumoniae g-ve R
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| *Legionella sp – legionella pneumophilia g-ve R [[http://en.wikipedia.org/wiki/Legionella_pneumophila]]
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| *Listeria monocytogenes g+ve R
| | {{Data Integrity Check List}} |
| *Moraxella catarrhalis g-ve R
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| *Morganella morganii g+ve R
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| *Mycoplasma pneumoniae
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| *Neisseria gonorrhoeae g-ve C
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| *Proteus mirabilis g-ve R
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| *Pseudomonas aeruginosa g-ve R
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| *Salmonella g-ve R
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| *Serratia g-ve R
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| *Shigella g-ve R
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| *Staphylococcus aureus g+ve C
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| *Staphylococcus epidermidis g+ve C
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| *Streptococcus agalactiae Group B g+ve C
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| *Streptococcus pneumoniae g+ve C
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| *Streptococcus pyogenes Group A g+ve C
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| *Streptococcus viridans g+ve C
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| *Treponema pallidum (Syphilis)[[http://www.cdc.gov/std/Syphilis/STDFact-Syphilis.htm]]
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| ====Discussion====
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| Can someone confirm for me again when it is appropriate to use code 59 from pathogen table?--[[User:MWaschuk|MWaschuk]] 18:25, 2 March 2009 (CST)
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| ===Fungi=== | | == Related Articles == |
| Aspergillus species
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| Blastomyces,
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| Candida,
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| Crytococcus,
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| Histoplasma
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| ===Virus===
| | [[Category:ICD10]] |
| Adenoviruses,
| | [[Category:Pathogens| *]] |
| Cytomegaloviruses,
| | [[Category:Infectious disease| *]] |
| Epstein-Barr virus,
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| Herpes simplex,
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| Herpes zoster,
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| West Nile
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| ===Parasites===
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| Cryptosporidium,
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| Giardia Lamblia,
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| Malaria,
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| Pneumocystis carinii (PCP),
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| Toxoplasma gondii
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| == Data Integrity Rules==
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| The [[CCMDB.mdb]] runs checks for the following:
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| *'''no infections without pathogens'''
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| *'''no non-infections with pathogens'''
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| For details, see the coding in Access.
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| == Discussion ==
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| * Sputums for AFB (Acid Fast Bacilli). As per Dr. Kumar: a negative AFB culture is considered a '''negative culture''' and should '''not''' to be coded as '''NO C&S culture sent'''.--[[User:FLindell|FLindell]] 15:33, 6 August 2008 (CDT)
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| ** Fran, what's an AFB, and how does this entry relate to the pathogens? Can you give a little more detail? Thanks--[[User:Ttenbergen|Ttenbergen]] 16:09, 6 August 2008 (CDT)
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| ***AFB is defined as Acid Fast Bacilli, which is a laboratory test used to identify certain types of bacteria such as mycobacteria that cause TB. There was a question from data collectors about how to capture this sputum sample. I guess the fact that the sputum sample is used to categorize the pathogen is why the discussion was placed here.--[[User:JHutton|JHutton]] 12:49, 11 August 2008 (CDT) | |
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| * How do we code scabies ?cellulitis other parasite? Please let me know Thanks[[User:SKiesman|SKiesman]] 13:30, 17 November 2008 (CST)
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| **Don't code. We haven't been tracking incidence of scabies nor are we going to start. [[User:TOstryzniuk|TOstryzniuk]] 21:21, 17 November 2008 (CST) | |
| {{stub}}
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| [[Category:Diagnosis Coding]]
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| [[Category:Data Integrity Rules]]
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| [[Category:Trish Pending]]
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| [[Category: Questions Diagnosis]]
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