Template:ICD10 Guideline MRSA: Difference between revisions

Revision as of 10:50, 31 October 2019

This template is used in ICD10 dx pages that are part of MRSA coding.

To use:

{{ICD10 Guideline MRSA}}

MRSA Guidelines

MRSA reporting is part of Critical Care Vital Signs Monitoring.

Colonization

You can use the 'Set MRSA Colonized' button to enter the following:

Combined code the following as a Comorbid Diagnosis (not as an Admit Diagnosis.

Enter CCI Picklist Isolation, infectious as appropriate

Template:Discussion Great idea to have this button! Because all of these patients must be on isolation, could the button also include automatically entering isolation in CCI?
- It looks like the CCI field does populate with isolation, but could we have a default acquired not admit?
- If it is a comorbid, then the isolation should be implemented all along so it should be an admit. Acquireds are for new mrsa colonizations during their stay. This is how I understand it.
  - There was a change done to Isolation, infectious that states the opposite. HSC has been putting isolation in acquired CCI's, when the patient has MRSA in comorbs, so that's why I suggested that as a default. I think we discussed this in TASK, but I guess we all need clarification on this one.

Infection

Combined code the following

the appropriate code from one of the following

Infection requiring pathogen codes:
Abscess of intestine Anus or rectum, abscess Appendicitis, with or without rupture or peritonitis Arthritis, infectious (septic arthritis) Bacteremia Bacterial infection, NOS Bladder, cystitis, acute infectious Bone infection (osteomyelitis), NOS Bone infection (osteomyelitis), acute Bone infection (osteomyelitis), chronic Bursitis, infective (any site) Carrier of infectious disease, unspecified Cellulitis Cholangitis Chronic myringitis Colonized with organism (not infected) Dermatophytosis (tineas, cutaneous fungal infection) Empyema (pyothorax) Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, bacterial Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, infectious NOS Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral Endocarditis, infective, acute or subacute Endophthalmitis, infectious Epididymis, infection (epididymitis) Food poisoning (due to foodborne bacterial toxin), NOS Fournier's gangrene Fungemia, NOS Gas gangrene (usually due to Clostridium perfringens) Gastrointestinal infection (gastroenteritis, colitis), bacterial, NOS Gastrointestinal infection (gastroenteritis, colitis), bug NOS Gastrointestinal infection (gastroenteritis, colitis), protozoal, NOS Gastrointestinal infection (gastroenteritis, colitis), viral Iatrogenic, infection, cardiac or vascular prosthetic device or implant or graft NOS Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) Iatrogenic, infection, following a procedure or surgery, NOS Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis) Iatrogenic, infection, internal orthopedic prosthetic device or implant or graft or bone device Iatrogenic, infection, internal prosthetic device or implant or graft NOS Iatrogenic, infection, related to vascular access other than central line Iatrogenic, infection, urinary catheter Impetigo Infection of skin or subcutaneous (soft) tissue, NOS Infectious disease NOS Infectious mononucleosis (usually due to Epstein-Barr virus) Intervertebral disc, infection (infective discitis) Kidney infection, acute (pyelonephritis) Kidney infection, chronic (pyelonephritis) Kidney, renal abscess or perinephric abscess Liver abscess Lower respiratory tract infection, acute infectious Mediastinitis, infectious Meningitis, fungal Meningitis, infectious NOS Meningitis, viral - incl West Nile Muscle, infection (pyomyositis, infective myositis) Myocarditis/carditis, acute infective Necrotizing fasciitis Nosocomial infection, NOS Other specified infectious agents as the cause of diseases classified by other ICD10 code Otitis externa, infectious Otitis media, infectious Parasitic infection, NOS Pericarditis, acute, infective Peritonitis, infectious Peritonsillar abscess Pneumonia, NOS Pneumonia, bacterial Pneumonia, fungal/yeast Pneumonia, ventilator-associated (VAP) Pneumonia, viral Prostate, abscess Psoas abscess Puerperal (post-delivery) infections or sepsis Pulmonary embolism (thromboembolism), septic Pulmonary embolism, septic obstetrical thromboembolism Retroperitoneal abscess Septic Thrombosis or Embolism, NOS Severe sepsis Sexually transmitted (venereal) infections, NOS Shock, septic Skin abscess Synovitis, tenosynovitis, infective (any site) Toxic shock syndrome Tracheostomy complication, infection of site Upper respiratory infection, acute NOS Urinary tract infection, NOS Vertebrae, osteomyelitis (bone infection) Viral hemorrhagic fever, NOS Viral hepatitis, acute, NOS Viral hepatitis, chronic, NOS Viral infection, NOS Zoonotic bacterial disease (directly transmitted from animal)

Potential infection codes:
Abdominal hernia, with gangrene Abortion NOS, with complication Bartholin's gland, disorder, infectious or not Bladder, cystitis NOS Bladder, cystitis, chronic Breast, disorder NOS Breast, inflammatory or infectious disorder of breast Bronchitis, acute or chronic not specified, infectious or noninfectious Bronchitis, chronic, infectious or noninfectious Cervix, inflammatory or infectious disorder Cholecystitis, acute Chronic sinusitis Common cold (acute nasopharyngitis) Conjunctivitis, any type or cause Deep venous thrombosis/thrombophlebitis, leg (DVT) Disorder of anus or rectum, NOS Disorder of eye(s), NOS Disorder of iris or ciliary body of eye Disorder of lacrimal system Disorder of liver, NOS Disorder of nose and/or sinuses, infectious or noninfectious NOS Disorder of peritoneum, NOS Disorder of pulmonary vessels, NOS Disorder of respiratory system, any part, NOS Disorder of salivary glands Disorder of spleen, NOS Disorder of the cardiovascular/circulatory system, NOS Disorder of upper respiratory tract, infectious or noninfectious NOS Diverticulitis, small or large intestine (diverticular disease with perforation or abscess) Diverticulosis, small or large intestine (diverticular disease without perforation or abscess) Duodenitis Endocarditis, infective, chronic Epididymitis or orchitis, NOS (unclear which) Epiglotittis, acute Erythema multiforme Erythema nodosum Esophagitis, NOS Gallbladder or bile duct disorder, NOS Hepatomegaly Internal female reproductive organs and adnexa NOS, inflammatory or infectious disorder Interstitial lung disease, NOS Intracranial abscess Intraspinal abscess Kidney or ureter, disorder NOS Laryngitis or tracheitis, acute Laryngitis or tracheitis, chronic Lung abscess Lymphangitis Male genital organs, disorder NOS Mastoiditis (acute or chronic, infectious or noninfectious) Medical abortion, with complication Meningitis, bacterial, NOS Mouth, cellulitis or abscess Myocarditis, chronic Observation for suspected infection NOS Pancreas disorder, NOS Pancreatitis, acute NOS Penis, disorders NOS Pharyngitis, acute Pleural effusion, NOS Pleurisy (infectious or noninfectious) Progressive Multifocal Leukoencephalopathy (PML) Prostate, disorder NOS Respiratory disorder, postprocedure/postop NOS Retropharyngeal or parapharyngeal abscess Salpingitis, oophoritis or salpingo-oophoritis Sinusitis, acute Skin abscess Skin, rash NOS Spontaneous abortion/miscarriage, with complication Superficial venous thrombosis/thrombophlebitis, anywhere Testis, orchitis Thyroiditis, acute Tonsillitis, acute Tonsillitis, chronic Urethra, infectious or noninfectious urethritis Urinary system, disorder NOS Uterus, inflammatory or infectious disorder Vagina or vulva, inflammatory or infectious disorder NOS Vagina, vaginitis, acute Vagina, vaginitis, chronic

Colonized vs local infection

If MRSA drawn from an abscess or deep in wound and you think it is causing the "local" infection, else code colonization.

Data Use

Julie reported in 2013 that in the past 2 years there were 2 requests for data related to these variables. It was decided that Allan with contact Dr. Embil and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it.

@@ Line 28: / Line 28: @@
 **It looks like the CCI field does populate with isolation, but could we have a default acquired not admit?
 **If it is a comorbid, then the isolation should be implemented all along so it should be an admit.  Acquireds are for new mrsa colonizations during their stay. This is how I understand it.
+***There was a change done to [[Isolation, infectious]] that states the opposite. HSC has been putting isolation in acquired CCI's, when the patient has MRSA in comorbs, so that's why I suggested that as a default. I think we discussed this in TASK, but I guess we all need clarification on this one.
 ==== Infection ====

Template:ICD10 Guideline MRSA: Difference between revisions

Revision as of 10:50, 31 October 2019

Contents

MRSA Guidelines

Colonization

Infection

Colonized vs local infection

Data Use

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Template:ICD10 Guideline MRSA: Difference between revisions

Revision as of 10:50, 31 October 2019

MRSA Guidelines

Colonization

Infection

Colonized vs local infection

Data Use

Navigation menu

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