Resistance to antimicrobials, methicillin (anti-staph penicillins): Difference between revisions
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*[https://en.wikipedia.org/wiki/Antistaphylococcal_penicillinsAnti-staph penicillins] | *[https://en.wikipedia.org/wiki/Antistaphylococcal_penicillinsAnti-staph penicillins] | ||
{{Discuss | who = | {{Discuss | who = Tina | question = Inf | ||
* What is the attribution rule for our program on MRSA colonization? For example if a patient comes from SOGH ICU to the Concordia and tests positive for MRSA in less than 24 hours I would attribute this colonization to the SOGH not the Concordia. Is that correct? | * What is the attribution rule for our program on MRSA colonization? For example if a patient comes from SOGH ICU to the Concordia and tests positive for MRSA in less than 24 hours I would attribute this colonization to the SOGH not the Concordia. Is that correct? | ||
** If we will have such a rule at all, could it be one that applies to infections in general and would therefore live in [[Template: ICD10 Guideline Infection]]. Also, we would want to make sure that "attribution" as a concept doesn't get muddled - if we search for that there are several hits, and we use other terms like "gets credit" elsewhere I believe. And in [[Lab and culture reports]]... | ** If we will have such a rule at all, could it be one that applies to infections in general and would therefore live in [[Template: ICD10 Guideline Infection]]. Also, we would want to make sure that "attribution" as a concept doesn't get muddled - if we search for that there are several hits, and we use other terms like "gets credit" elsewhere I believe. And in [[Lab and culture reports]]... | ||
Revision as of 15:47, 2019 October 30
| ICD10 Diagnosis | |
| Dx: | Resistance to antimicrobials, methicillin (anti-staph penicillins) |
| ICD10 code: | U82.1 |
| Pre-ICD10 counterpart: | ICD10 Guideline MRSA |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
List of Antimicrobials Relevant Here
Methicillin, nafcillin, oxacillin, cloxacillin, dicloxacillin, flucloxacillin
Additional Info
This is not a standard ICD10 code but a ICD10 CA code. We added it for the following reason:
See Non-standard ICD10 Diagnoses for other codes like this. |
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.
48 hr rule
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Inf
Also affected are : Does anyone think making this one rule for all will be a problem? |
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Alternate ICD10s to consider coding instead or in addition
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
Antibiotic resistance
Antibiotic resistance is coded as Combined ICD10 codes of the condition/pathogen and the resistance. See Antibiotic Resistant Organism for more info.
Related CCI Codes
Related Articles
Show all ICD10 Subcategories