Subacute sclerosing panencephalitis (SSPE) (caused by Measles virus)
| ICD10 Diagnosis | |
| Dx: | Subacute sclerosing panencephalitis (SSPE) (caused by Measles virus) |
| ICD10 code: | A81.1 |
| Pre-ICD10 counterpart: | Meningoencephalitis |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Neuro NOS |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Meningoencephalitis is always viral or other atypical pathogen..but it is NOT bacterial or fungal.
This DX is not the same as Meningitis
http://www.encephalitis.info/information/types-of-encephalitis/types-of-infectious-encephalitis/ https://en.wikipedia.org/wiki/Encephalitis
bacterial encephalitis - not applicable
in researching encephalitis, it does appear that bacterial meningitis like pneumococcal meningitis can lead to encephalitis (although it is very rare). Our codes presently do not allow a bacterial pathogen for meningoencephalitis and we do not have a code for only encephalitis. I put two websites above if anyone is interested. Should we allow a pathogen option for meningoencephalitis in light of this?--LKolesar 14:23, 2015 September 23 (CDT)
encephalitis is a DX code with the proper term being meningoencephalitis. But it is not meningitis.
Encephalitis/meningoencephalitis is always viral or other atypical pathogen..but it is NOT bacterial or fungal. So the pathogens we have listed are adequate.
Meningitis however, can be bacterial, fungal or occasionally viral.
gram pos/neg does NOT apply to meningoenchphalitis. If you think that this is the organism causing the problem, then the underlying condition is probably Meningitis, not encephalitis. (ie: the “meningo” part of “meningoencephalitis” is confusing). Meningoencephalitis is not the same as “Meningitis”…that is a separate diagnosis.--Dr. Anand Kumar, 1330, 2016, February 29.
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
Related CCI Codes
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 |
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