Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)

ICD10 Diagnosis
Dx:	Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)
ICD10 code:	T82.70
Pre-ICD10 counterpart:	Central Line Related Blood stream Infection (CLR-BSI)
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • T82.70

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Additional Info

• This is one of a number of different types of iatrogenic injury codes. Here is information about all of them; Iatrogenic codes in ICD10

Criteria

Must meet all of #1, #2 and #3A or #3B

1. Confirmed bloodstream infection in patient with a central line which has been in place >2 calendar days as of when the infection occurred.

• e.g: if inserted Tuesday, first day that that CLI can cause a CLI-BSI is Thursday.
• It can occur on the day of CLI removal or the day following CLI removal IF it had been in place already for >2 calendar days before removal.

2. Definition of a central line = intravascular catheter terminates at or close to the heart, or in one of the great vessels. It was used for infusion, blood sampling, or hemodynamic monitoring. It can be temporary, or long-term/permanent.

• The following are not central lines: arterial catheter, A-V fistula, ECMO, balloon pump, VAD, peripheral iv’s, any device without a lumen (e.g. pacemaker wires).
• The following are central lines: regular untunnelled central line, tunnelled central line (including port-a-cath, Hickman, Broviac), vascath, PICC, vascath, introducer

3. Confirmed means either 3A or 3B are true:

• 3A. A recognized pathogen NOT related to infection at another site (such as UTI, pneumonia, surgical site infection) is isolated from one or more blood cultures
  • Recognized pathogens are everything except the following:
    • diptheroids (e.g: Corynebacterium)
    • Bacillus species
    • Propionibacterium species
    • Coagulase-negative staph (including S. epidermidis)
    • Strep viridans group
    • Aerococcus species
    • Micrococcus species

• 3B. Patient has at least one of: T>38.0, chills, or hypotension PLUS any common commensal NOT related to infection at another site (such as UTI, pneumonia, surgical site infection) is cultured from TWO OR MORE blood cultures drawn separately from DIFFERENT SITES.
  • The common commensals are:
    • diptheroids (e.g: Corynebacterium)
    • Bacillus species
    • Propionibacterium species
    • Coagulase-negative staph (including S. epidermidis)
    • Strep viridans group
    • Aerococcus species
    • Micrococcus species

Attribution The Central Line-Related Bloodstream Infection to a Location

• The infection is attributed to the location where the patient was on the date the infection became clinically evident......
• EXCEPT if all elements of the infection are present on the day of transfer OR the next day, the infection is attributed to the location from which they were transferred.

Alternate ICD10s to consider coding instead or in addition

• Iatrogenic, infection, related to vascular access other than central line
• Any of the other iatrogenic injury codes: see Iatrogenic codes in ICD10

Candidate Combined ICD10 codes

• Must also code the organism.

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Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
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Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results