Septicemia/Bacteremia/Fungemia: Difference between revisions
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{{DX tag |Infection | | {{DX tag |Infection | Medical Problem | Septicemia (Bacteremia/Fungemia) | UPL (Universal Pathogen List) | [[4600 - Septicemia (Bacteremia/Fungemia)]] | No | 0 | '''Critical Care and Medicine''' |Currently Collected | |}} | ||
''Note: See also [[Septic Shock]], [[Severe Sepsis]]'' | ''Note: See also [[Septic Shock]], [[Severe Sepsis]]'' | ||
Revision as of 23:04, 20 February 2017
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:BacteremiaClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category:Infection (old) |
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Type: |
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| Main Diagnosis: | Septicemia (Bacteremia/Fungemia) |
| Sub Diagnosis: | UPL (Universal Pathogen List) |
| Diagnosis Code: | 4600 - Septicemia (Bacteremia/Fungemia) |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected
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Note: See also Septic Shock, Severe Sepsis
Definition
Septicemia/BACTEREMIA/Fungemia means POSITIVE blood culture, (presence of bugs in blood stream).
Guideline
- Positive (+ ve) blood cultures
- Note: Septicemia/Bacteremia/Fungemia may be the working DX that the physician is treating but we cannot use the term septicemia unless there are positive blood cultures. If a source is not identified by cultures then use fever NYD. A septic patient just means that they likely have an infection somewhere, it does notmean they have septicemia. Again, the term "septicemia" is only used if the patient has a pathogen isolated in the blood!
- Unknown pathogen (68) only used for septicemia if the patient was transferred from a hospital where positive blood cultures were found but it is unclear which organism it was because it was not included in the documentation sent with the patient.
- what if unknown for other reasons? how is this different from normal use of code 68? Template:Discussion Ttenbergen 17:28, 2014 October 2 (CDT)
Physician Recording Septicemia without +ve blood culture
- If this happens it is best to ask the physician about this. Usually they mean septic not septicemia because they are still unsure of the source.