Colonized with organism (not infected): Difference between revisions
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{{Discuss | who = Allan | question = * Are all of these actually things that can colonize without infection? We should only list those here that can. I started adding in links but then decided to hold off in case a lot of them drop off this list. Ttenbergen 15:34, 2018 November 28 (CST) | {{Discuss | who = Allan | question = * Are all of these actually things that can colonize without infection? We should only list those here that can. I started adding in links but then decided to hold off in case a lot of them drop off this list. Ttenbergen 15:34, 2018 November 28 (CST) | ||
*The above list is those organisms that require isolation. You may want to move this list to the [[Isolation, infectious]] section.--[[User:LKolesar|LKolesar]] 07:06, 2018 December 24 (CST) | *The above list is those organisms that require isolation. You may want to move this list to the [[Isolation, infectious]] section.--[[User:LKolesar|LKolesar]] 07:06, 2018 December 24 (CST) | ||
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{{Discuss | who = Tina | question = make sure this is consistent with [[Lab and culture reports]] }} | {{Discuss | who = Tina | question = make sure this is consistent with [[Lab and culture reports]] }} | ||
Revision as of 12:46, 7 June 2019
| ICD10 Diagnosis | |
| Dx: | Colonized with organism (not infected) |
| ICD10 code: | Z22 |
| Pre-ICD10 counterpart: | none assigned |
| 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 indicates only what it says, colonized BUT NOT INFECTED, with an organism. Do not use this code if there is an actual infection (symptomatic or not), for those use the proper infection code.
- If present on admission, code as a Comorbid Diagnosis, not as an Admit Diagnosis. If applicable, still code Isolation, infectious in CCI Picklist .
We are only tracking colonization with the following organisms that infection prevention and control is interested in:
- MRSA
The following bugs are isolated but these are not in the category of colonized only (not infected):
- Adenovirus
- AMR-GNB
- Bocavirus
- C.auris
- C.diff
- Coronavirus
- CPE
- Diphtheria
- GAS (invasive only)
- Herpes zoster
- Human metapneumovirus
- Influenza
- Measles
- Meningococcus(Neisseria meningitides)
- MERSCoV
- Monkeypox
- MRSA
- MTB
- Mumps
- Mycoplasma pneumonia
- Norovirus
- Parainfluenza
- Pertussis
- Plague
- Poliomyelitis
- Rhinovirus
- Rotavirus
- RSV
- Rubella virus (German measles virus)
- SARSCoV
- Scabies (see Infestation, NOS)
- Smallpox
- Syphilis
- Vaccinia
- Varicella zoster
- Viral hemorrhagic fevers
- VRSA
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make sure this is consistent with Lab and culture reports |
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, likely as Acquired Procedure, but consult Admit Procedure/Acquired Procedure to be sure.
Infection
Combined code the following
- the appropriate code from one of the following
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.
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories