Pyelonephritis (Kidney Infection/Abcess)

Definition

Infection and/or abcess in the KIDNEY

• also see:
  • Cystitis (Bladder Infection)
  • Urosepsis

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:

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edit dx infobox
Category/Organ System:	Category: Pyelonephritis (Kidney Infection/Abcess)''' WITHOUT''' Obstruction or Hydronephrosis (old)
Type:
Main Diagnosis:	54-00
Sub Diagnosis:	Critical Care and Medicine
Diagnosis Code:	Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:

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:

Click Expand to show legacy content.

edit dx infobox
Category/Organ System:	Category: Pyelonephritis (Kidney Infection/Abcess)''' WITH''' Obstruction or Hydronephrosis (old)
Type:
Main Diagnosis:	55-00
Sub Diagnosis:	Critical Care and Medicine
Diagnosis Code:	Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:

Template:Discussion

Discussion

• I have a dumb question in our old books code 359 kidney infections/abcesses (ei.pyelonephritis/urosepsis) and code 360 was just for cystitis (bladder infection) in our new book code 51 says only Cystitis (bladder infection) does not say Urosepsis
• definition: Can be used interchangeably to describe either
• (A)urinary tract infection(UTI) or
• (B) the rare occurrence of bacterial seeding into the blood stream due to an UTI causing a generalised infection.
• So my question is we now include urosepsis to code 51? Is this a correct understanding of the use of code 51? (SKiesman, Jan 8 2009 10:54am)

• Question is never dumb.
• First thing, please get rid of you old code book, you should have an updated one. These code were migrated to the infection section June 26.06. I am not sure why you are still using old code book?
• Urosepsis is a term used imprecisely to denote infection ranging from urinary tract infection to generalized sepsis which may result from such infection.
• for our purpose the definition of Urosepsis is: septicemia/bacteremia resulting from urinary tract infection.

• If localized bladder infection (cystitis) only code 51 - subcode with applicable pathogen

• if the DX is Urosepsis - which mean it is know or suspected that the infection has gone into bloodstream, then also code with septicemia/bacteremia (46) with subcode that is applicable. TOstryzniuk 14:11, 8 January 2009 (CST)

• Yes it seems that Doc's use the DX of urosepsis when referring the localized bladder infection.