Gastrointestinal infection (gastroenteritis, colitis), bug NOS: Difference between revisions
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*This code should have a [[Pathogens|pathogen]] entry too, but | *This code should have a [[Pathogens|pathogen]] entry too, but because there are already more specific codes for GI infections that are bacterial, viral or protozoal (see list above), with this more general wastebasket code for GI infections, the pathogen should ONLY be either [[Other type of infectious organism, NOS]] or [[Infectious organism, unknown]]. | ||
{{DA | q - still a question | {{DA | q - still a question | ||
This code implicitly includes '''the word''' colitis, [[Gastrointestinal infection (gastroenteritis), protozoal, NOS]] and [[Gastrointestinal infection (gastroenteritis), viral]] do not. Is that as intended? | This code implicitly includes '''the word''' colitis, [[Gastrointestinal infection (gastroenteritis), protozoal, NOS]] and [[Gastrointestinal infection (gastroenteritis), viral]] do not. Is that as intended? | ||
*<!--AG REPLY --> No. as now stated above, it is for GI infection NOT covered in one of the other GI infection codes, such as protozoal or viral.}} | *<!--AG REPLY --> No. as now stated above, it is for GI infection NOT covered in one of the other GI infection codes, such as protozoal or viral. | ||
*AG REPLY --- the wording differences are NOT meant to imply that some of these codes exclude the colon. I've modified the "gastroenteritis" wiki articles to make clear that infection of any/all parts of the GI tract are included in these wastebasket codes.}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
Revision as of 12:15, 2018 December 13
| ICD10 Diagnosis | |
| Dx: | Gastrointestinal infection (gastroenteritis, colitis), bug NOS |
| ICD10 code: | A09 |
| Pre-ICD10 counterpart: | Gastroenteritis |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: GI NOS |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Excludes: This code should be used when none of the other codes for GI infections are applicable:
- This code should have a pathogen entry too, but because there are already more specific codes for GI infections that are bacterial, viral or protozoal (see list above), with this more general wastebasket code for GI infections, the pathogen should ONLY be either Other type of infectious organism, NOS or Infectious organism, unknown.
|
q - still a question This code implicitly includes the word colitis, Gastrointestinal infection (gastroenteritis), protozoal, NOS and Gastrointestinal infection (gastroenteritis), viral do not. Is that as intended?
|
Alternate ICD10s to consider coding instead or in addition
- Food poisoning (due to foodborne bacterial toxin), NOS
- Duodenitis
- Typhoid fever or Paratyphoid fever (due to Salmonella typhi or Salmonella enterica)
- Salmonella enteritis
- Cholera (due to Vibrio cholerae)
- Shigellosis (dysentery due to Shigella species)
- Clostridium difficile infection (C. diff)
- Botulism (due to Clostridium botulinum toxin)
- Listeria
- Amoebiasis (amoebic dysentery due to Entamoeba histolytica)
- Adenovirus
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
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 Inf Infection req Pathogen must have one | CCMDB.accdb | implemented |
| Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
Related Articles
Show all ICD10 Subcategories