Infections in ICD10: Difference between revisions
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Infections in ICD10 are coded somewhat inconsistently. There are [[#Diagnoses where the pathogen is implied]] and [[#Diagnoses where the pathogen must be coded separately]]. [[#Coding Antibiotic Resistance]] should also be done when there is one. | Infections in ICD10 are coded somewhat inconsistently. There are [[#Diagnoses where the pathogen is implied]] and [[#Diagnoses where the pathogen must be coded separately]]. [[#Coding Antibiotic Resistance]] should also be done when there is one. | ||
== | === [[Dx_Date]] infections in [[Acquired Diagnosis / Complication]] === | ||
*The date we want to use is the date in which the infection first appeared clinically. This can be a very difficult determination, and may include consideration of: | *The date we want to use is the date in which the infection first appeared clinically. This can be a very difficult determination, and may include consideration of: | ||
**Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc) | **Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc) | ||
| Line 7: | Line 7: | ||
**Thus, as usual, you must use your clinical judgment to decide when the infection first showed up. | **Thus, as usual, you must use your clinical judgment to decide when the infection first showed up. | ||
=== Untreated positive cultures === | |||
=== Untreated positive cultures | |||
*Probably the most common of these is urine and sputum. | *Probably the most common of these is urine and sputum. | ||
*How to code these depends on what the clinical team thinks is true: | *How to code these depends on what the clinical team thinks is true: | ||
**If they're not treating because they think it's NOT an infection and instead is colonization, then code it as one or the other of: | **If they're not treating because they think it's NOT an infection and instead is colonization, then code it as one or the other of: [[Colonized with organism (not infected)]] and/or something like [[Urine tests, NOS, abnormal]] | ||
**If on the other hand, they just failed (permanently, or temporarily) to treat what became apparent later to be a real infection, then code it as an infection. | **If on the other hand, they just failed (permanently, or temporarily) to treat what became apparent later to be a real infection, then code it as an infection. | ||
=== | === Other related information === | ||
* [[Antibiotic Resistant Organism]] (it's is combined-coded) | |||
* [[Lab and culture reports]] | |||
* [[Template:ICD10 Guideline Iatrogenic]] | |||
* [[Attribution of infections]] | |||
==Cross Checks== | ==Cross Checks== | ||
Revision as of 13:31, 3 November 2019
Infections in ICD10 are coded somewhat inconsistently. There are #Diagnoses where the pathogen is implied and #Diagnoses where the pathogen must be coded separately. #Coding Antibiotic Resistance should also be done when there is one.
Dx_Date infections in Acquired Diagnosis / Complication
- The date we want to use is the date in which the infection first appeared clinically. This can be a very difficult determination, and may include consideration of:
- Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc)
- Date on which the culture was sent --- but this can be misleading because a culture may not be sent until several days after the symptoms appear.
- Thus, as usual, you must use your clinical judgment to decide when the infection first showed up.
Untreated positive cultures
- Probably the most common of these is urine and sputum.
- How to code these depends on what the clinical team thinks is true:
- If they're not treating because they think it's NOT an infection and instead is colonization, then code it as one or the other of: Colonized with organism (not infected) and/or something like Urine tests, NOS, abnormal
- If on the other hand, they just failed (permanently, or temporarily) to treat what became apparent later to be a real infection, then code it as an infection.
- Antibiotic Resistant Organism (it's is combined-coded)
- Lab and culture reports
- Template:ICD10 Guideline Iatrogenic
- Attribution of infections
Cross Checks
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 Inf Potential Infection must have pathogen or alt | CCMDB.accdb | declined |
| Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogen | CCMDB.accdb | implemented |
| Check Inf Infection with implied pathogen must not have a pathogen combined code | CCMDB.accdb | implemented |
| 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 |