Non-standard ICD10 Diagnoses: Difference between revisions
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*** Allan, could you confirm that that this is what we found when we looked into BOOP. | *** Allan, could you confirm that that this is what we found when we looked into BOOP. | ||
*AG REPLY --- so far Tina the only 2 U-codes that would ever be a primary dx are U04 and U14.68 -- which belong respectively to ICD10 chapters J and E. But whenever we add a new U-code we need to remember to decide which chapter (if any) it needs to be included under. Tina to add to template. | *AG REPLY --- so far Tina the only 2 U-codes that would ever be a primary dx are U04 and U14.68 -- which belong respectively to ICD10 chapters J and E. But whenever we add a new U-code we need to remember to decide which chapter (if any) it needs to be included under. Tina to add to template. | ||
** I can't add this to the template, this is not how templates work, they won't warn me as I start a new dx page. We'd need to remember this some other way. And I just saw | ** I can't add this to the template, this is not how templates work, they won't warn me as I start a new dx page. We'd need to remember this some other way. And I just saw other dxs that might fit in here: [[Diabetes mellitus acute complication: Non-ketotic hyperosmolar state]], [[Asystole]], [[Pulseless Electrical Activity (PEA)]] | ||
** Actually, neither BOOP nor SARS would currently be captured by our [[APACHE Acute Dxs in ICD10 codes]] filter - they likely should be. So this is still an issue and we would miss them if we did something similar. How do we fix it for the Apache codes and prevent this problem going fwd? [[User:Ttenbergen|Ttenbergen]] 15:22, 2022 June 30 (CDT) | ** Actually, neither BOOP nor SARS would currently be captured by our [[APACHE Acute Dxs in ICD10 codes]] filter - they likely should be. So this is still an issue and we would miss them if we did something similar. How do we fix it for the Apache codes and prevent this problem going fwd? [[User:Ttenbergen|Ttenbergen]] 15:22, 2022 June 30 (CDT) | ||
*** Discussed at JALT, Allan will review. [[User:Ttenbergen|Ttenbergen]] 10:32, 2022 August 24 (CDT) | *** Discussed at JALT, Allan will review. [[User:Ttenbergen|Ttenbergen]] 10:32, 2022 August 24 (CDT) | ||
Revision as of 15:47, 2022 October 27
See also: Non-standard CCI Procedure
The following non-standard ICD10 Diagnoses we customized/added have been added to encode specific diagnostic details that ICD10 doesn't account for. Pages would generally be added to this page using Template:ICD10 nonstandard code.
ICD10 CA specific Codes
- Note that for ICD10 (unlike ICD9) different countries do some customization. In general here we're using the ICD-10-CA (Canadian) version but in some cases we have borrowed codes that are from the US customization.
| ICD10 | description | reason for using non-standard code |
|---|---|---|
| C7A.0 | Malignant carcinoid tumor | there is no Canadian code for carcinoid tumor and so we used this US code; this is also the reason why this code has a letter in it. |
| J45.91 | Status asthmaticus | Status Asthmaticus is coded as J46 in the International version of ICD10 but we chose to code it as this code. |
| U82.1 | Resistance to antimicrobials, methicillin (anti-staph penicillins) | Antimicrobial resistance is not coded in standard ICD10. |
| U82.20 | Resistance to carbapenem antibiotics | Antimicrobial resistance is not coded in standard ICD10. |
| U82.3 | Resistance to antimicrobials, extended spectrum beta lactamase (ESBL) | Antimicrobial resistance is not coded in standard ICD10. |
| U82.8 | Resistance to antimicrobials, antibiotic, resistance to other beta lactams | Antimicrobial resistance is not coded in standard ICD10. |
| U83.9 | Resistance to antimicrobials, miscellaneous antibacterial antibiotics | Antimicrobial resistance is not coded in standard ICD10. |
| U84.0 | Resistance to antimicrobials, antiparasitic drug | Antimicrobial resistance is not coded in standard ICD10. |
| U84.1 | Resistance to antimicrobials, antifungal drug | Antimicrobial resistance is not coded in standard ICD10. |
| U84.2 | Resistance to antimicrobials, antiviral agent | Antimicrobial resistance is not coded in standard ICD10. |
| U84.3 | Resistance to antimicrobials, classic anti-mycobacterial agent | Antimicrobial resistance is not coded in standard ICD10. |
| U84.9 | Resistance to antimicrobials, drug NOS | Antimicrobial resistance is not coded in standard ICD10. |
| U85.1 | Asystole | Asystole is not coded in standard ICD10. |
| U85.2 | Pulseless Electrical Activity (PEA) | Pulseless Electrical Activity (PEA) is not coded in standard ICD10. |
| Z95.811 | Heart assist device, has one | We needed to be able to collect LVADs and standard ICD10 doesn't have a code for this. |
ICD10 CM specific Codes
These are codes that follow the American ICD10 CM listing and are different from the WHO listing.
| ICD10 | description | reason for using non-standard code |
|---|---|---|
| J84.89 | Bronchiolitis obliterans organizing pneumonia (BOOP, cryptogenic organizing pneumonia (COP)) | There is no specific code for BOOP in the CA version. |
Codes our program added
- U00-U49 - Provisional codes for temporary assignment by World Health Organization of new diseases of uncertain etiology
- U50-U99 - Provisional codes for research and temporary assignment in Canada
List of our Custom Codes
| ICD10 | description | reason for using non-standard code |
|---|---|---|
| 0 | No Dx Entered | This is the default code that shows up in an ICD10 diagnosis when a new record is entered. The entry should always be replaced with an actual diagnosis by the time a record is finalized. Cross check Query check_ICD10_unfilled will give an error for the record if this entry is present. |
| 00 | Not an Infection (ICD10 pathogen alternative) | This is a possible entry as an ICD10 pathogen. It isn't an actual ICD10 code, but it is used in our database to prevent someone from forgetting to combine a pathogen with a diagnoses requiring pathogens. |
| 000 | No Comorbidities (ICD10 code) | This code is entered as a Comorbid Diagnosis for patients who have no comorbidities so that we can cross-check that the entry was not simply forgotten. |
| U04 | SARS (severe acute respiratory syndrome) | This is a special purpose code currently assigned by the WHO for SARS. |
| U14.68 | Diabetes mellitus acute complication: Non-ketotic hyperosmolar state | In ICD10 proper, this code would be grouped together with Diabetes mellitus chronic complication NOS which is less specific than we want, or with Diabetic coma which would miss cases that are not severe enough to cause coma, so we added this code. |
| U22.11 | Stenotrophomonas species | We needed to some track pathogens that do not have a specific ICD10 code. |
| U22.12 | Citrobacter species | We needed to some track pathogens that do not have a specific ICD10 code. |
| U22.13 | Enterobacter species | We needed to some track pathogens that do not have a specific ICD10 code. |
| U22.14 | Acinetobacter species | We needed to some track pathogens that do not have a specific ICD10 code. |
| U22.9 | Infectious organism, unknown | We needed to track some pathogens that do not have a specific ICD10 code. |
Total List of codes in the contingency range
These should all be already addressed above, think of this as a contingency check in case we forgot to specifically address one.
Effect on other systems that use ranges of codes in definitions
APACHE Acute Dxs in ICD10 codes, APACHE Comorbidities in ICD10 codes, Charlson Comorbidities in ICD10 codes and ICD10 blocks rely on ranges of codes. Some of the diagnoses listed above might be coded instead of other diagnoses that would have been in the relevant ranges, and therefore prevent inclusion in one of these schemes. Here are our considerations of them.
- Bronchiolitis obliterans organizing pneumonia (BOOP, cryptogenic organizing pneumonia (COP)) (J84.89)
- SARS (severe acute respiratory syndrome) (U04)
|
Dx grouping JALT
|