Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis): Difference between revisions
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*Combine this with the bug | *Combine this with the bug | ||
*Use this code for prosthetic valve endocarditis that is acute, subacute, or chronic. | *Use this code for prosthetic valve endocarditis that is acute, subacute, or chronic. | ||
**In ICD10 prosthetic valve endocarditis is routinely coded as being an iatrogenic infection, regardless of the initiating cause (e.g. IVDA). | **In ICD10 prosthetic valve endocarditis is routinely coded as being an iatrogenic infection, regardless of the initiating cause (e.g. IVDA {{discussion}} is this intravenous drug aaaaaaa addiction? administration? ). | ||
{{Discuss | who = Allan | question = | |||
* I am pasteing the definition of iatrogenic here: | |||
**"i·at·ro·gen·ic īˌatrəˈjenik/adjective: iatrogenic: relating to illness caused by medical examination or treatment." | |||
*If a patient is injecting themselves with illicit drugs intravenously and their prosthetic valve subsequently becomes infected, I do not think the physician or medical system should be attributed with the blame for that infection. The word iatrogenic implies the cause to be from a medical treatment. I agree that this code could be used in some cases if the endocarditis is caused by a line infection, etc. However in the above example, I think we should have a different code to use. This is my opinion.--[[User:LKolesar|LKolesar]] 13:07, 2018 August 29 (CDT) | |||
*** I think this is meant to be iatrogenic because the prosthetic valve was a healthcare intervention, and made them more susceptible to the infection they picked up through their drug use. But I am not sure why the discussion about a prosthetic valve is in here at all, shouldnt that be in [[Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis)]]? Ttenbergen 17:13, 2018 September 6 (CDT)}} | |||
**For native valve endocarditis, instead use: '''[[Endocarditis, infective, acute or subacute]]''' if it's acute or subacute, or '''[[Heart valvular disorder, valve NOS]]''' if it's chronic. | **For native valve endocarditis, instead use: '''[[Endocarditis, infective, acute or subacute]]''' if it's acute or subacute, or '''[[Heart valvular disorder, valve NOS]]''' if it's chronic. | ||
*Identify WHICH valve is involved by combining this code with one (or more) of the following: | *Identify WHICH valve is involved by combining this code with one (or more) of the following: | ||
Revision as of 17:17, 2018 September 6
| ICD10 Diagnosis | |
| Dx: | Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis) |
| ICD10 code: | T82.6 |
| Pre-ICD10 counterpart: | Endocarditis-Prosthetic Valve, Septic Prosthetic Device |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Combine this with the bug
- Use this code for prosthetic valve endocarditis that is acute, subacute, or chronic.
- In ICD10 prosthetic valve endocarditis is routinely coded as being an iatrogenic infection, regardless of the initiating cause (e.g. IVDA Template:Discussion is this intravenous drug aaaaaaa addiction? administration? ).
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- For native valve endocarditis, instead use: Endocarditis, infective, acute or subacute if it's acute or subacute, or Heart valvular disorder, valve NOS if it's chronic.
- Identify WHICH valve is involved by combining this code with one (or more) of the following:
Alternate ICD10s to consider coding instead or in addition
- Any of the other iatrogenic injury codes: see Iatrogenic codes in ICD10
- Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis)
- Mitral valve disorder, NOS
- Aortic valve disorder, NOS
- Tricuspid valve disorder, NOS
- Pulmonary valve disorder, NOS
- Heart valvular disorder, valve NOS
- Endocarditis, noninfectious, acute or subacute
Candidate Combined ICD10 codes
- Mitral valve disorder, NOS
- Aortic valve disorder, NOS
- Tricuspid valve disorder, NOS
- Pulmonary valve disorder, NOS
Past history, heart valve replacement (any valve)
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
Related Articles
Show all ICD10 Subcategories