Infections in ICD10: Difference between revisions
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**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 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. | ||
=== Coding when the pathogen isn't clear (yet) === | |||
See [[Lab and culture reports]] for where to find pathogen info. | |||
If you don't get a presumptive pathogen and it's not a situation which relates to '''[[Infection with implied pathogen]]''', you should then use '''[[Infectious organism, unknown]]'''.'' | |||
=== Other related information === | === Other related information === | ||
Revision as of 13:32, 29 April 2020
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.
Coding when the pathogen isn't clear (yet)
See Lab and culture reports for where to find pathogen info.
If you don't get a presumptive pathogen and it's not a situation which relates to Infection with implied pathogen, you should then use Infectious organism, unknown.
- 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 |