|Pre-ICD10 counterpart:||OTHER -Fungus|
|APACHE Como Component:||none|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
- 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.
Symptom/Sign/Test Result not needed when cause known
- This code identifies a symptom or a sign, or an abnormal test result, not a disorder.
- So, you should code the cause of the symptom/sign/abnormal test, if known -- and if you do so, then also coding and combining the symptom/sign/abnormal test result to that cause is generally optional, but is guided by the following guidelines.
- Here are guidelines for whether or not to ALSO code the symptom/sign/abnormal test when you DO code the underlying cause:
- If it is a subjective symptom (e.g. pain) then coding it is optional
- When it is a physical exam finding (e.g. abdominal tenderness) then coding it is generally optional
- An exception is when the symptom/sign/abnormal testis so severe that all by itself it mandates hospitalization and/or a procedure -- a good example is a patient who has Wegener's granulomatosis is admitted due withHemoptysis. Since hemoptysis is a physical finding that fits this description of "severe" it should be coded, and combined with Wegener's.
- When it is an abnormal laboratory finding which in and of itself has relevance (e.g. hyperkalemia, hypoalbuminemia) then USUALLY code it
- You don't need to code the abnormal lab finding is when it is actually a major component of the underlying cause --- example is when a person presents with an acute MI, there is no need to code the abnormal troponin as Abnormal blood chemistry NOS
- The trickiest of these guidelines is for abnormal radiologic tests
- When the abnormal test is fully explained by the underlying diagnosis/diagnoses (e.g. pneumonia as cause of abnormal chest imaging, or a skull fracture with an intracranial hemorrhage both identified by an abnormal head CT) then coding the abnormal imaging result is optional
- But remember there are some rare things for which the abnormal imaging result IS part of coding the entity, for example we code retroperitoneal hemorrhage by the combination of Hemorrhage, NOS and Retroperitoneal area, diagnostic imaging, abnormal
- Sometimes there may be multiple symptom/sign/test result that might or might NOT be related to each other by virtue of having the same underlying cause. Since in the absence of KNOWING that cause, such assumptions may well be incorrect, do NOT combine them together if you are not certain they actually have the same underlying cause.
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 requiring pathogen
This diagnosis is an infection that requires a pathogen to be coded.
Attribution of infections
Related CCI Codes
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|