Bacteremia: Difference between revisions

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*[[Bacteremia]] is a clearcut entity, which means '''bacteria circulating in the blood, and not due to contaminated blood culture'''. [[#Bacteremia is '''not''' a blind replacement for septicemia!]]
*[[Bacteremia]] is a clearcut entity, which means '''bacteria circulating in the blood, and not due to contaminated blood culture'''. [[#Bacteremia is '''not''' a blind replacement for septicemia!]]
*NOTE: Bacteremia is a finding, not a specific disease.  And even though the general rule is that coding findings/signs/symptoms is optional when the underlying cause is known, you should ALWAYS specifically code bactermia when present
*NOTE: Bacteremia is a finding, not a specific disease.  And even though the general rule is that coding findings/signs/symptoms is optional when the underlying cause is known, you should ALWAYS specifically code bactermia when present
**Furthermore, at the discretion of the data collector, it can be linked to another presumed infection (e.g. Klebsiella pneumonia linked to Klebsiella bacteremia), but if it’s not completely clear that they’re related, leave the bacteremia as “free standing”.  
**Furthermore, at the discretion of the data collector, they can be coded as [[Combined ICD10 codes]] with another presumed infection (e.g. Klebsiella pneumonia with to Klebsiella bacteremia), but if it’s not completely clear that they’re related, code the bacteremia seperately as “free standing”. {{DA | what do you mean by free-standing? Do you mean not to use [[Combined ICD10 codes]]? Bacteremia is in [[:Category:Infection requiring pathogen]], so it has to be coded with a pathogen. Do you mean it should be coded with [[Infectious organism, unknown]] or similar? Ttenbergen 13:36, 2019 February 1 (CST)}}
***If you include any of the sepsis codes AND you have bacteremia, then it's a clinical decision of whether or not to link those two codes.
***If you include any of the sepsis codes AND you have bacteremia, then it's a clinical decision of whether or not to link those two codes.