Pseudomembranous Colitis (C-DIFF): Difference between revisions

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can't code c-diff pathogen elsewhere now so removed some instructions; one question added
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{{DX tag | Infection | | Pseudomembranous colitis - C-diff | Pseudomembranous Colitis (C.diff colitis) | 72-12  | | | Critical Care & Medicine | Currently Collected | |}}
{{DX tag | Infection | | Pseudomembranous colitis - C-diff | Pseudomembranous Colitis (C.diff colitis) | 72-12  | | | Critical Care & Medicine | Currently Collected | |}}


{{Discussion}}:  Tina, see Julie or Trish as this is not coded in the CCMDB DX list as we are expecting it should be in the CFE.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:33, 2016 February 5 (CST)
Code this if you have a patient who is diagnosed with '''pseudomembranous colitis''' and the stool culture is positive (+ve) for C.diff.
{{Potential Change}}


*If you have a patient who is diagnosed with '''pseudomembranous colitis''' and the stool culture is positive (+ve) for C.diff, then use diagnosis code '''72'''. 
== what if is a different pathogen? ==
*Do not use code 65-12
* Dr. Kumar states that the majority of pseudomembranous colitis is caused by C.diff and other types are '''rare.'''
*Dr. Kumar states that the majority of pseudomembranous colitis is caused by C.diff and other types are '''rare.'''
* If a patient has diarrhea and a stool culture is negative (-ve) for C.diff, then code as gastroenteritis - culture negative (65-65). {{discussion}} what if pseudomembranous colitis is negative for c.diff but has a different pathogen? Ttenbergen 14:38, 2016 February 8 (CST)
*If a patient has diarrhea and a stool culture is negative (-ve) for C.diff, then code as gastroenteritis - culture negative (65-65).


Legacy:
== special coding ==
When we worked on the code conversion to create and infection section, inadvertently we created two ways of coding pseudomembranous colitis.  Since the majority of coding in the database since 1988 uses code 72-12 instead of code 65-12, we will exclude code 65-12 and use only code 72 for this diagnosis. ACCESS database rule will be added, and the few codes 65-12 used in master ICU/Medicine database will be converted to code 72-12.
This is not coded internally as Infections, instead the permitted pathogen is available as diagnosis explicitly.  
[[Category: Unusually coded infections]]


== Legacy coding - code 65 vs 72 ==
When we worked on the code conversion to create and infection section, inadvertently we created two ways of coding pseudomembranous colitis.  Since the majority of coding in the database since 1988 uses code 72-12 instead of code 65-12, we will exclude code 65-12 and use only code 72 for this diagnosis. 
This surfaced again 2016-02; we made it impossible to code this wrongly.


[[User:TOstryzniuk|TOstryzniuk]] 16:57, 16 September 2008 (CDT)
[[Category:Diagnosis Coding]]
[[Category:Diagnosis Coding]]

Revision as of 14:38, 2016 February 8

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Clostridium difficile infection (C. diff)

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System:
Category: Infection (old)

Type:

Medical Problem

Main Diagnosis: Pseudomembranous colitis - C-diff
Sub Diagnosis: Pseudomembranous Colitis (C.diff colitis)
Diagnosis Code: 72-12
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care & Medicine
Status: Currently Collected


Code this if you have a patient who is diagnosed with pseudomembranous colitis and the stool culture is positive (+ve) for C.diff.

what if is a different pathogen?

  • Dr. Kumar states that the majority of pseudomembranous colitis is caused by C.diff and other types are rare.
  • If a patient has diarrhea and a stool culture is negative (-ve) for C.diff, then code as gastroenteritis - culture negative (65-65). Template:Discussion what if pseudomembranous colitis is negative for c.diff but has a different pathogen? Ttenbergen 14:38, 2016 February 8 (CST)

special coding

This is not coded internally as Infections, instead the permitted pathogen is available as diagnosis explicitly.

Legacy coding - code 65 vs 72

When we worked on the code conversion to create and infection section, inadvertently we created two ways of coding pseudomembranous colitis. Since the majority of coding in the database since 1988 uses code 72-12 instead of code 65-12, we will exclude code 65-12 and use only code 72 for this diagnosis. This surfaced again 2016-02; we made it impossible to code this wrongly.