Clostridium difficile infection (C. diff)
|Dx:||Clostridium difficile infection (C. diff)|
|Pre-ICD10 counterpart:||Pseudomembranous Colitis (C-DIFF)|
|APACHE Como Component:||none|
|APACHE Acute Component:||GI NOS|
|External ICD10 Documentation|
incl pseudomembraneous colitis
Code this if you have a patient who is diagnosed with pseudomembranous colitis and the stool culture is positive (+ve) for C.diff.
what if it is is a different pathogen?
- Dr. Kumar states that the majority of pseudomembranous colitis is caused by C.diff and other types are rare.
- If a patient has diarrhea and a stool culture is negative (-ve) for C.diff, then code the appropriate other Category:Gastroenteritis code.
Double Duty Pathogen code
This ICD10 code does double duty as both a pathogen and a disease condition:
- as the Infection with implied pathogen C. diff diarrhea
- as the pathogen C. diff when it affects another part of the body, e.g. in sepsis
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
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.
Infection with implied pathogen
This diagnosis implies its pathogen. A pathogen should not be coded.
Attribution of infections
Related CCI Codes
- possibly Isolation, infectious
Data Integrity Checks (SMW)
|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|
|Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogen||CCMDB.accdb||implemented|
|Query check ICD10 Inf Potential Infection must have pathogen or alt||CCMDB.accdb||implemented|
|Check Inf Pathogens must have Infection requiring pathogen or Potential Infection||CCMDB.accdb||implemented|
|Query check ICD10 duplicates||CCMDB.accdb||needs review|
|Check ICD10 some cant be primary||CCMDB.accdb||needs review|