Infections in ICD10
Infections in ICD10 are coded somewhat inconsistently. There are #Diagnoses where the pathogen is implied and #Diagnoses where the pathogen must be coded separately. #Coding Antibiotic Resistance should also be done when there is one.
Dx_Date infections in Acquired Diagnosis / Complication
- The date we want to use is the date in which the infection first appeared clinically. This can be a very difficult determination, and may include consideration of:
- Date on which the clinical signs or symptoms first appeared (e.g. fever, or dysuria, etc)
- Date on which the culture was sent --- but this can be misleading because a culture may not be sent until several days after the symptoms appear.
- Thus, as usual, you must use your clinical judgment to decide when the infection first showed up.
Untreated positive cultures
- Probably the most common of these is urine and sputum.
- How to code these depends on what the clinical team thinks is true:
- If they're not treating because they think it's NOT an infection and instead is colonization, then code it as one or the other of: Colonized with organism (not infected) and/or something like Urine tests, NOS, abnormal
- If on the other hand, they just failed (permanently, or temporarily) to treat what became apparent later to be a real infection, then code it as an infection.
Coding when the pathogen isn't clear (yet)
See Lab and culture reports for where to find pathogen info.
- Antibiotic Resistant Organism (it's is combined-coded)
- Lab and culture reports
- Template:ICD10 Guideline Iatrogenic
- Attribution of infections
Data Integrity Checks (SMW)
|Check Inf Pathogens must have Infection requiring pathogen or Potential Infection||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 Infection with implied pathogen must not have a pathogen combined code||CCMDB.accdb||implemented|
|Query check ICD10 duplicates||CCMDB.accdb||needs review|
|Check ICD10 some cant be primary||CCMDB.accdb||needs review|