Septicemia/Bacteremia/Fungemia
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.
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| Category/Organ System: |
Category:Infection (old) |
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Type: |
[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]] |
| 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.
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.
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.