Observation for suspected infection NOS: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
 
(8 intermediate revisions by 3 users not shown)
Line 1: Line 1:
{{ICD10 transition status
| OldDxArticle =
| CurrentStatus = reconciled
| InitialEditorAssigned = not assigned
}}
{{ICD10 dx
{{ICD10 dx
| MinimumCombinedCodes =
| MinimumCombinedCodes =
Line 9: Line 4:
| BugRequired= optional  
| BugRequired= optional  
}}
}}
{{ICD10 category|Infectious disease}}{{ICD10 category|Potential infection}}{{ICD10 category|Healthcare contact}}{{ICD10 category|Observation}}
{{ICD10 category|Infectious disease}}{{ICD10 category|Potential infection}}{{ICD10 category|Healthcare contact}}{{ICD10 category|Observation}}{{ICD10 category|COVID}}


== Additional Info ==
== Additional Info ==
* This code is used if a person was observed for a suspected infection (other than [[Observation for SUSPECTED tuberculosis]]) but did NOT end up having an infection.
This code is [[Combined ICD10 codes|combined]] with a pathogen if a person was observed for a suspected infection but did NOT end up having an infection.
* For example, it is used for suspected [[COVID-19 (SARS-COV-2)]]


'''Excludes:'''
* [[Observation for SUSPECTED tuberculosis]]
{{ICD10 Guideline COVID linker}}
=== Suspected infections being confirmed POSITIVE or NEGATIVE ===
=== Suspected infections being confirmed POSITIVE or NEGATIVE ===
* If a suspected infection becomes confirmed, remove this code and replace it with the relevant infection code
* If a suspected infection becomes confirmed, remove this code and replace it with the relevant infection code
Line 20: Line 17:


===Exception to [[#Suspected infections being confirmed POSITIVE or NEGATIVE]] for COVID-19===
===Exception to [[#Suspected infections being confirmed POSITIVE or NEGATIVE]] for COVID-19===
* If patient is a COVID suspect- combine [[COVID-19 (SARS-COV-2)]] with [[Observation for suspected infection NOS]] linked with the same number (don’t link it with any other infection code if not confirmed) then leave the code in, even if they later come up as a negative
* If patient is a COVID suspect- combine [[COVID-19 (SARS-COV-2)]] with [[Observation for suspected infection NOS]] linked with the same number (don’t link it with any other infection code if not confirmed) then '''leave the code in''', even if they later come up as a negative
* If a person with the combination of codes that represents observation for suspected COVID-19 then has their COVID come back as (+), then just change the [[Observation for suspected infection NOS]] to whatever is the COVID manifestation (e.g. pneumonia, etc).
* If a person with the combination of codes that represents observation for suspected COVID-19 then has their COVID come back as (+), then just change the [[Observation for suspected infection NOS]] to whatever is the COVID manifestation (e.g. pneumonia, etc).
* ALSO, do NOT use this combination of codes for each COVID swab sent, as this represents a diagnosis, not a procedure.


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
Line 32: Line 30:


{{Data Integrity Check List}}
{{Data Integrity Check List}}
==== Legacy info ====
Until 2021-02-22 the instruction was to keep the Observation entry rather than change it to the actual manifestation, so older data would list this different from newer instructions.


== Related Articles ==
== Related Articles ==

Latest revision as of 10:02, 2022 February 7

ICD10 Diagnosis
Dx: Observation for suspected infection NOS
ICD10 code: Z03.8
Pre-ICD10 counterpart: none assigned
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.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • Z03.8
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories

Additional Info

This code is combined with a pathogen if a person was observed for a suspected infection but did NOT end up having an infection.

Excludes:

ICD10 Guideline COVID

Coding COVID related diagnoses is complicated, and they are of special interest in our reporting, so we need to get these right. See ICD10 Guideline COVID.

Suspected infections being confirmed POSITIVE or NEGATIVE

  • If a suspected infection becomes confirmed, remove this code and replace it with the relevant infection code
  • If a suspected infection test comes back negative, delete the code unless that code was the only reason for admission, in which case leave it in

Exception to #Suspected infections being confirmed POSITIVE or NEGATIVE for COVID-19

  • If patient is a COVID suspect- combine COVID-19 (SARS-COV-2) with Observation for suspected infection NOS linked with the same number (don’t link it with any other infection code if not confirmed) then leave the code in, even if they later come up as a negative
  • If a person with the combination of codes that represents observation for suspected COVID-19 then has their COVID come back as (+), then just change the Observation for suspected infection NOS to whatever is the COVID manifestation (e.g. pneumonia, etc).
  • ALSO, do NOT use this combination of codes for each COVID swab sent, as this represents a diagnosis, not a procedure.

Alternate ICD10s to consider coding instead or in addition

Observation codes:

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

See Attribution of infections


Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 Inf Potential Infection must have pathogen or altCCMDB.accdbdeclined
Query Check Inf Pathogens must have Infection requiring pathogen or Potential InfectionCCMDB.accdbimplemented

Legacy info

Until 2021-02-22 the instruction was to keep the Observation entry rather than change it to the actual manifestation, so older data would list this different from newer instructions.

Related Articles

Related articles:


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