Pathogens: Difference between revisions

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*[[Unknown Pathogen]]

Could someone please fill in specifics about how or when these are to be used? Specifically, if we know specific bugs, are there any that should be coded implicitly even if there are others (ie precedence rules)?

== Coding when antibiotics are given but no cultures ==

If there is evidence of an ongoing infection, even if no further culture code the previous pathogen.

If no culture is sent then we choose the subcode [[No Culture Sent or Resulted]]

== {{CCMDB Data Integrity Checks}} ==

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*'''no non-infections with pathogens'''

For details, see the coding in Access.

~~== coding when there is no culture ==~~

~~{{Discussion}}~~

*At the Vic, sputum and urine cultures are rarely ordered. Even when pathogen is unknown, antibiotic course is started and completed. A +ve urinalysis or infiltrates on CXR and other UTI or pneumonic infectious process symptoms are sufficient enough reasons to treat. This makes sense for N5 and S5 when admissions are generally those of the older adult, with a number from PCHs. Antibiotics are chosen based on likely pathogens, despite absent cultures. I've been coding them as infections. Should I stop? Thanks.

**Con, could you get a coding consult from Dr. Embil?

*** Would you not just code this as [[No Culture Sent or Resulted]] or [[Unknown Pathogen]]? Ttenbergen 10:03, 2014 September 18 (CDT) Ttenbergen 14:44, 2016 February 8 (CST)

****The current practice at SBGH and GGH is that as long as there is evidence of an ongoing infection, as Shirley described above, then we would choose the appropriate code and if no culture is sent then we choose the subcode "no culture sent" [[User:Lkaita|Lisa Kaita]] 09:14, 2017 May 18 (CDT)

[[Category: UPL]]

[[Category: Infection|*]]

[[Category: Diagnosis Coding]]

@@ Line 11: / Line 11: @@
 *[[Unknown Pathogen]]
 Could someone please fill in specifics about how or when these are to be used? Specifically, if we know specific bugs, are there any that should be coded implicitly even if there are others (ie precedence rules)?
+== Coding when antibiotics are given but no cultures ==
+If there is evidence of an ongoing infection, even if no further culture code the previous pathogen.
+If no culture is sent then we choose the subcode [[No Culture Sent or Resulted]]
 == {{CCMDB Data Integrity Checks}} ==
@@ Line 17: / Line 22: @@
 *'''no non-infections with pathogens'''
 For details, see the coding in Access.
-== coding when there is no culture ==
-{{Discussion}}
-*At the Vic, sputum and urine cultures are rarely ordered. Even when pathogen is unknown, antibiotic course is started and completed. A +ve urinalysis or infiltrates on CXR and other UTI or pneumonic infectious process symptoms are sufficient enough reasons to treat. This makes sense for N5 and S5 when admissions are generally those of the older adult, with a number from PCHs. Antibiotics are chosen based on likely pathogens, despite absent cultures. I've been coding them as infections. Should I stop? Thanks.
-**Con, could you get a coding consult from Dr. Embil?
-*** Would you not just code this as [[No Culture Sent or Resulted]] or [[Unknown Pathogen]]? Ttenbergen 10:03, 2014 September 18 (CDT) Ttenbergen 14:44, 2016 February 8 (CST)
-****The current practice at SBGH and GGH is that as long as there is evidence of an ongoing infection, as Shirley described above, then we would choose the appropriate code and if no culture is sent then we choose the subcode "no culture sent" [[User:Lkaita|Lisa Kaita]] 09:14, 2017 May 18 (CDT)
 [[Category: UPL]]
 [[Category: Infection|*]]
 [[Category: Diagnosis Coding]]