Bacteremia: Difference between revisions
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Ttenbergen (talk | contribs) m (This one is still {{ICD10 category|Testing}} anyway... it would only be used if no details are known. Realize now that this needs to be flagged for collectors.) |
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{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}} | {{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Testing}} | ||
== Additional Info == | == Additional Info == | ||
*Bacteremia is a lab finding, not a disease. Following our general rule, code symptoms, signs and diagnostic abnormalities when the | *Bacteremia 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 the cause, 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. | **So, if the patient has a known infection AND/OR '''[[Severe sepsis]]''' OR '''[[Shock, septic]]''' you MUST code those. | ||
Revision as of 14:56, 2018 June 19
| ICD10 Diagnosis | |
| Dx: | Bacteremia |
| ICD10 code: | A49.9 |
| Pre-ICD10 counterpart: | Septicemia |
| 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
- Bacteremia 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 the cause, 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.
Alternate ICD10s to consider coding instead or in addition
- Shock, septic
- Severe sepsis
- Sepsis (SIRS due to infection, without acute organ failure)
- Any infection that is the source of this bacteremia.
- Fungemia, NOS
- Bacterial infection, NOS
- Fever or fever of unknown origin (FUO)
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
- Others, as mentioned above.
Related CCI Codes
Related Articles
Show all ICD10 Subcategories