Peritonitis, infectious: Difference between revisions
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== Additional Info == | == Additional Info == | ||
*This code includes: | *This code ''ALMOST'' all types of intra-peritoneal infections | ||
** | *It includes: | ||
**Spontaneous Bacterial Peritonitis (SBP) -- this is an entity that occurs in people with pre-existing ascites | |||
**Peritoneal abscess | **Peritoneal abscess = intraperitoneal abscess | ||
**Abdominal abscess = intraabdominal abscess NOS | **Abdominal abscess = intraabdominal abscess NOS | ||
**Pelvic abscess = intrapelvic abscess NOS | **Pelvic abscess = intrapelvic abscess NOS -- '''except''' for PID, see below | ||
*This code excludes only the following causes/types of intra-peritoneal infections: | |||
**[[Appendicitis, with or without rupture or peritonitis]] | |||
**Pelvic Inflammatory Disease (PID) -- for which you use this code: [[Internal female reproductive organs and adnexa NOS, inflammatory or infectious disorder]] | |||
*[https://en.wikipedia.org/wiki/Peritonitis Peritonitis] | *[https://en.wikipedia.org/wiki/Peritonitis Peritonitis] | ||
*Often abdominal paracentesis is done to test the fluid for WBC and cultures | |||
*A diagnosis of SBP is usually made by finding polymorphonuclear cell (PMN, also referred to as neutrophils) count in the ascitic fluid is ≥250 (or 500) cells/mm3, and secondary causes of peritonitis are excluded | |||
* | **Culture results might be negative if antibiotics were started before the sample was taken; you can still code this with a pathogen of [[Infectious organism, unknown]] | ||
*A diagnosis of SBP is made | |||
** | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
*[[Appendicitis, with or without rupture or peritonitis]] | *[[Appendicitis, with or without rupture or peritonitis]] | ||
*[[Internal female reproductive organs and adnexa NOS, inflammatory or infectious disorder]] | |||
*[[Disorder of peritoneum, NOS]] | *[[Disorder of peritoneum, NOS]] | ||
Revision as of 10:34, 29 December 2018
| ICD10 Diagnosis | |
| Dx: | Peritonitis, infectious |
| ICD10 code: | K65 |
| Pre-ICD10 counterpart: | Peritonitis |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- This code ALMOST all types of intra-peritoneal infections
- It includes:
- Spontaneous Bacterial Peritonitis (SBP) -- this is an entity that occurs in people with pre-existing ascites
- Peritoneal abscess = intraperitoneal abscess
- Abdominal abscess = intraabdominal abscess NOS
- Pelvic abscess = intrapelvic abscess NOS -- except for PID, see below
- This code excludes only the following causes/types of intra-peritoneal infections:
- Appendicitis, with or without rupture or peritonitis
- Pelvic Inflammatory Disease (PID) -- for which you use this code: Internal female reproductive organs and adnexa NOS, inflammatory or infectious disorder
- Peritonitis
- Often abdominal paracentesis is done to test the fluid for WBC and cultures
- A diagnosis of SBP is usually made by finding polymorphonuclear cell (PMN, also referred to as neutrophils) count in the ascitic fluid is ≥250 (or 500) cells/mm3, and secondary causes of peritonitis are excluded
- Culture results might be negative if antibiotics were started before the sample was taken; you can still code this with a pathogen of Infectious organism, unknown
Alternate ICD10s to consider coding instead or in addition
- Appendicitis, with or without rupture or peritonitis
- Internal female reproductive organs and adnexa NOS, inflammatory or infectious disorder
- Disorder of peritoneum, NOS
Candidate Combined ICD10 codes
Infections
Infections in ICD10 have combined coding requirements for some of their pathogens. Any that have antibiotic resistances would store those as Combined ICD10 codes as well. If the infection is acquired in the hospital, see Nosocomial infection, NOS. See Lab and culture reports for confirmation and details about tests. See Infections in ICD10 for more general info.
Possible Simultaneous Presence of Multiple Different Types of Infection in a Single Site
- This refers to the situation where there may be simultaneous infection with multiple types of organisms -- e.g. 2 of bacteria, virus, fungus. While a classic example is a proven viral pneumonia (e.g. influenza) with a suspected/possible bacterial pneumonia superimposed, this kind of thing can occur in places other than the lungs, e.g. meningitis.
- The "signature" of this is typically the patient being treated simultaneously with antimicrobial agents for multiple types of organisms. BUT don't confuse this with there being infections at DIFFERENT body sites.
- As per our usual practice, we will consider a diagnosis as present if the clinical team thinks it's present and are treating it, with the exception that the team initially treated for the possible 2nd type of infection but then decided it likely was NOT present and stopped those agents.
- And remember that Infectious organism, unknown is used when the the specific organism is unknown (this could be not knowing the TYPE of organism, or suspecting the type but not having identified the specific organism of that type), while when the organism has been identified but it's not in our bug list, THEN use Bacteria, NOS, Virus, NOS or Fungus or yeast, NOS.
Attribution of infections
| cirrhosis codes: |
- if coding cirrhosis also code cause of cirrhosis if known
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 Inf Infection req Pathogen must have one | CCMDB.accdb | implemented |
| Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
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Show all ICD10 Subcategories