Colonized with organism (not infected): Difference between revisions

Revision as of 11:01, 20 June 2019

ICD10 Diagnosis
Dx:	Colonized with organism (not infected)
ICD10 code:	Z22
Pre-ICD10 counterpart:	VRE, ESBL and MRO Colonization, ICD10 Guideline MRSA
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

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
There ARE lots of other bugs that can colonize various parts of the body, almost all of which CAN also cause infection. There is a smallish list of bugs that NEVER colonize and are always believed to be active infectious agent, e.g. Mycobacterium TB, Legionella, ebola.

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

Infection requiring pathogen codes:
Abscess of intestine Anus or rectum, abscess Appendicitis, with or without rupture or peritonitis Arthritis, infectious (septic arthritis) Bacteremia Bacterial infection, NOS Bladder, cystitis, acute infectious Bone infection (osteomyelitis), NOS Bone infection (osteomyelitis), acute Bone infection (osteomyelitis), chronic Bursitis, infective (any site) Carrier of infectious disease, unspecified Cellulitis Cholangitis Chronic myringitis Dermatophytosis (tineas, cutaneous fungal infection) Empyema (pyothorax) Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, bacterial Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, infectious NOS Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral Endocarditis, infective, acute or subacute Endophthalmitis, infectious Epididymis, infection (epididymitis) Food poisoning (due to foodborne bacterial toxin), NOS Fournier's gangrene Fungemia, NOS Gas gangrene (usually due to Clostridium perfringens) Gastrointestinal infection (gastroenteritis, colitis), bacterial, NOS Gastrointestinal infection (gastroenteritis, colitis), bug NOS Gastrointestinal infection (gastroenteritis, colitis), protozoal, NOS Gastrointestinal infection (gastroenteritis, colitis), viral Iatrogenic, infection, cardiac or vascular prosthetic device or implant or graft NOS Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) Iatrogenic, infection, following a procedure or surgery, NOS Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis) Iatrogenic, infection, internal orthopedic prosthetic device or implant or graft or bone device Iatrogenic, infection, internal prosthetic device or implant or graft NOS Iatrogenic, infection, related to vascular access other than central line Iatrogenic, infection, urinary catheter Impetigo Infection of skin or subcutaneous (soft) tissue, NOS Infectious disease NOS Infectious mononucleosis (usually due to Epstein-Barr virus) Intervertebral disc, infection (infective discitis) Kidney infection, acute (pyelonephritis) Kidney infection, chronic (pyelonephritis) Kidney, renal abscess or perinephric abscess Liver abscess Lower respiratory tract infection, acute infectious Mediastinitis, infectious Meningitis, fungal Meningitis, infectious NOS Meningitis, viral - incl West Nile Muscle, infection (pyomyositis, infective myositis) Myocarditis/carditis, acute infective Necrotizing fasciitis Nosocomial infection, NOS Other specified infectious agents as the cause of diseases classified by other ICD10 code Otitis externa, infectious Otitis media, infectious Parasitic infection, NOS Pericarditis, acute, infective Peritonitis, infectious Peritonsillar abscess Pneumonia, NOS Pneumonia, bacterial Pneumonia, fungal/yeast Pneumonia, ventilator-associated (VAP) Pneumonia, viral Prostate, abscess Psoas abscess Puerperal (post-delivery) infections or sepsis Pulmonary embolism (thromboembolism), septic Pulmonary embolism, septic obstetrical thromboembolism Retroperitoneal abscess Septic Thrombosis or Embolism, NOS Severe sepsis Sexually transmitted (venereal) infections, NOS Shock, septic Skin abscess Synovitis, tenosynovitis, infective (any site) Toxic shock syndrome Tracheostomy complication, infection of site Upper respiratory infection, acute NOS Urinary tract infection, NOS Vertebrae, osteomyelitis (bone infection) Viral hemorrhagic fever, NOS Viral hepatitis, acute, NOS Viral hepatitis, chronic, NOS Viral infection, NOS Zoonotic bacterial disease (directly transmitted from animal)

Potential infection codes:
Abdominal hernia, with gangrene Abortion NOS, with complication Bartholin's gland, disorder, infectious or not Bladder, cystitis NOS Bladder, cystitis, chronic Breast, disorder NOS Breast, inflammatory or infectious disorder of breast Bronchitis, acute or chronic not specified, infectious or noninfectious Bronchitis, chronic, infectious or noninfectious Cervix, inflammatory or infectious disorder Cholecystitis, acute Chronic sinusitis Common cold (acute nasopharyngitis) Conjunctivitis, any type or cause Deep venous thrombosis/thrombophlebitis, leg (DVT) Disorder of anus or rectum, NOS Disorder of eye(s), NOS Disorder of iris or ciliary body of eye Disorder of lacrimal system Disorder of liver, NOS Disorder of nose and/or sinuses, infectious or noninfectious NOS Disorder of peritoneum, NOS Disorder of pulmonary vessels, NOS Disorder of respiratory system, any part, NOS Disorder of salivary glands Disorder of spleen, NOS Disorder of the cardiovascular/circulatory system, NOS Disorder of upper respiratory tract, infectious or noninfectious NOS Diverticulitis, small or large intestine (diverticular disease with perforation or abscess) Diverticulosis, small or large intestine (diverticular disease without perforation or abscess) Duodenitis Endocarditis, infective, chronic Epididymitis or orchitis, NOS (unclear which) Epiglotittis, acute Erythema multiforme Erythema nodosum Esophagitis, NOS Gallbladder or bile duct disorder, NOS Hepatomegaly Internal female reproductive organs and adnexa NOS, inflammatory or infectious disorder Interstitial lung disease, NOS Intracranial abscess Intraspinal abscess Kidney or ureter, disorder NOS Laryngitis or tracheitis, acute Laryngitis or tracheitis, chronic Lung abscess Lymphangitis Male genital organs, disorder NOS Mastoiditis (acute or chronic, infectious or noninfectious) Medical abortion, with complication Meningitis, bacterial, NOS Mouth, cellulitis or abscess Myocarditis, chronic Observation for suspected infection NOS Pancreas disorder, NOS Pancreatitis, acute NOS Penis, disorders NOS Pharyngitis, acute Pleural effusion, NOS Pleurisy (infectious or noninfectious) Progressive Multifocal Leukoencephalopathy (PML) Prostate, disorder NOS Respiratory disorder, postprocedure/postop NOS Retropharyngeal or parapharyngeal abscess Salpingitis, oophoritis or salpingo-oophoritis Sinusitis, acute Skin abscess Skin, rash NOS Spontaneous abortion/miscarriage, with complication Superficial venous thrombosis/thrombophlebitis, anywhere Testis, orchitis Thyroiditis, acute Tonsillitis, acute Tonsillitis, chronic Urethra, infectious or noninfectious urethritis Urinary system, disorder NOS Uterus, inflammatory or infectious disorder Vagina or vulva, inflammatory or infectious disorder NOS Vagina, vaginitis, acute Vagina, vaginitis, chronic

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)

	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

Related articles:
ESBL or MRO (← links) Staphylococcus aureus (← links) VRE, ESBL and MRO Colonization (← links) Task Team Meeting - Rolling Agenda and Minutes 2018 (← links) Pneumonia, ventilator-associated (VAP) (← links) Fever or fever of unknown origin (FUO) (← links) Iatrogenic, mechanical complication/dysfunction, dialysis catheter (← links) Heart transplant, failure or rejection or unspecified complication (← links) Heart-lung transplant, failure or rejection or unspecified complication (← links) Liver transplant, failure or rejection or unspecified complication (← links) Lung transplant, failure or rejection or unspecified complication (← links) Pancreas transplant, failure or rejection or unspecified complication (← links) Transplanted organ NOS, failure or rejection or unspecified complication (← links) Resistance to antimicrobials, methicillin (anti-staph penicillins) (← links) Resistance to antimicrobials, extended spectrum beta lactamase (ESBL) (← links) Resistance to antimicrobials, vancomycin (← links) ICD10 Diagnosis List (← links) ICD10 Diagnosis List checker (← links) Infections in ICD10 (← links) Isolation, infectious (← links) Legacy Content (← links) Bug required (← links) Data Integrity Checks (← links) ICD10 Dx Checks (← links) Query check ICD10 Inf Infection req Pathogen must have one (← links) Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection (← links) Query check ICD10 duplicates (← links) ICD10 Category (← links) Task Team Meeting - Rolling Agenda and Minutes 2019 (← links) Colonization (redirect page) (← links) Attribution of infections (← links) Resistance to carbapenem antibiotics (← links) Template:ICD10 Guideline MRSA (← links) Template:ICD10 Guideline Transplant Failure (← links)

Skin	Trauma Abdominal trauma Burn Chemical burn Fracture Head trauma Head trauma (old) Joint/ligament trauma Lower limb trauma Muscles/tendon trauma Neck trauma Potential trauma Thoracic trauma Traumatic Amputation Traumatic fracture Upper limb trauma Vascular trauma	Renal/urinary Chronic kidney disease Nephritic syndrome Renal failure Renal/Urinary neoplasm Urinary tract infection	Infectious disease Antibiotic resistance Bacteria COVID Double duty pathogen Encephalitis Fungus Iatrogenic infection Infection requiring pathogen Infection with implied pathogen Influenza Intra-abdominal infection Lower respiratory tract infection Meningitis Non-specific pathogens Osteomyelitis Pathogens Pneumonia Potential infection Tuberculosis Upper respiratory tract infection Virus
ENT	Testing Imaging	Cardiovascular Aneurysm Aortic Aneurysm Arrhythmia Arterial thromboembolism Atherosclerosis Cardiac septum problem Cerebral Hemorrhage/Stroke Heart valve disease Hemorrhage Hypertension Hypotension Ischemia Ischemic gut Ischemic heart disease Myocardial Infarction Pulmonary embolism Pulmonary hypertension Vasculitis Venous thromboembolism	Hereditary/congenital
Eye	Mechanism Transportation mechanism	Neoplastic Benign neoplasm Endocrine neoplasm Female genital neoplasm Gastrointestinal neoplasm Heme/immunology neoplasm Leukemia Lymphoma Male genital neoplasm Metastasis Musculoskeletal/soft tissue neoplasm Neuro neoplasm Primary malignancy Renal/Urinary neoplasm Respiratory neoplasm Skin neoplasm	Heme/immunology Allergy Anemia Heme/immunology neoplasm Hemophilia Leukemia Thrombocytopenia
Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

@@ Line 13: / Line 13: @@
 == 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:
-We are only tracking colonization with the following organisms that infection prevention and control is interested in:
+**MRSA
-*MRSA
+*There ARE lots of other bugs that can colonize various parts of the body, almost all of which CAN also cause infection.  There is a smallish list of bugs that NEVER colonize and are always believed to be active infectious agent, e.g. Mycobacterium TB, Legionella, ebola.
-The following bugs are isolated but these are '''not''' in the category of colonized only (not infected):<!-- as pre email from Jennifer Forman, infection control nurse, to Laura 2018-11-28 -->
-* 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
-{{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)
-}}
-{{Discuss | who = Tina | question = make sure this is consistent with [[Lab and culture reports]] }}
 {{ICD10 Guideline MRSA}}

Colonized with organism (not infected): Difference between revisions

Revision as of 11:01, 20 June 2019

Contents

Additional Info

Colonization

Infection

Colonized vs local infection

Data Use

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

Related Articles

Navigation menu

Colonized with organism (not infected): Difference between revisions

Revision as of 11:01, 20 June 2019

Additional Info

Colonization

Infection

Colonized vs local infection

Data Use

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

Related Articles

Navigation menu

Search