Resistance to antimicrobials, methicillin (anti-staph penicillins)
|Dx:||Resistance to antimicrobials, methicillin (anti-staph penicillins)|
|Pre-ICD10 counterpart:||MRSA Colonization (without Infection)|
|APACHE Como Component:||none|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
- 1 Additional Info
- 2 Alternate ICD10s to consider coding instead or in addition
- 3 Candidate Combined ICD10 codes
- 4 Related CCI Codes
- 5 Related Articles
|This is not a standard ICD10 code but a ICD10 CA code. We added it for the following reason:
See Non-standard ICD10 Diagnoses for other codes like this.
MRSA reporting is part of Critical Care Vital Signs Monitoring.
- Staphylococcus aureus
- Resistance to antimicrobials, methicillin (anti-staph penicillins)
- Colonized with organism (not infected)
Combined code the following
- the appropriate code from one of the following
Colonized vs local infection
- If MRSA drawn from an abscess or deep in wound and you think it is causing the "local" infection, else code colonization.
Julie reported in 2013 that in the past 2 years there were 2 requests for data related to these variables. It was decided that Allan with contact Dr. Embil and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it.
48 hr rule
|* What is the attribution rule for our program on MRSA colonization? For example if a patient comes from SOGH ICU to the Concordia and tests positive for MRSA in less than 24 hours I would attribute this colonization to the SOGH not the Concordia. Is that correct?
Also affected are :
Does anyone think making this one rule for all will be a problem?
|* Julie, the above question specifically affects some projects you work with as well - do you think unifying this rule will be a problem for any of them?|
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
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 Infections in ICD10 for more info.
Related CCI Codes