Fungemia, NOS
| ICD10 Diagnosis | |
| Dx: | Fungemia, NOS |
| ICD10 code: | B49 |
| Pre-ICD10 counterpart: | OTHER -Fungus |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Fungemia is a lab finding, not a disease. Following our general rule, code symptoms, signs and diagnostic abnormalities when the underlying CAUSE is unknown. If that cause is known, then of course you must code it, and coding the abnormal finding is optional.
- So, if the patient has a known infection AND/OR Severe sepsis OR Shock, septic you MUST code those.
Template:ICD10 Guideline Symptoms not needed when cause known
Alternate ICD10s to consider coding instead or in addition
- Shock, septic
- Severe sepsis
- Any infection that is the source of this fungemia.
- Bacteremia
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
- Code the organism. Template:ICD10 If you knew the organism then why would it be coded as NOS in the first place? Ttenbergen 23:22, 2017 November 17 (CST)
- Others, as mentioned above.
Related CCI Codes
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