Resistance to antimicrobials, vancomycin: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle = VRE, ESBL and MRO Colonization | | OldDxArticle = VRE, ESBL and MRO Colonization | ||
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{{ICD10 dx | {{ICD10 dx | ||
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== Additional Info == | == Additional Info == | ||
This code is about resistance to [[Vancomycin]]. We also collect administration of [[Vancomycin]] as part of our [[Pharmacy Collection]]. | |||
As of 2019, the way that the microbiology laboratory indicates that an enterococcus is VRE (resistant to [[vancomycin]]) is a comment that "VRE is isolated". | |||
Includes: Vancomycin resistant [[Enterococcus species]] (VRE) ([https://en.wikipedia.org/wiki/Vancomycin-resistant_Enterococcus) | |||
=== Related to other data we collect === | |||
This has nothing to do with [[vanco alternatives]] from a perspective of lists or cross-checks, since the drugs in [[vanco alternatives]] are unrelated drugs. | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Antibiotic resistance}} | {{ListICD10Category | categoryName = Antibiotic resistance}} | ||
*[[Colonized with organism (not infected)]] | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
{{ICD10 | {{ICD10 Guideline Infection}} | ||
{{Combined dx AB resistance}} | {{ICD10 Guideline Combined dx AB resistance}} | ||
== Related CCI Codes == | == Related CCI Codes == | ||
*[[Isolation, infectious]] | |||
== Related Articles == | == Related Articles == |
Latest revision as of 10:27, 2020 April 16
ICD10 Diagnosis | |
Dx: | Resistance to antimicrobials, vancomycin |
ICD10 code: | U83.0 |
Pre-ICD10 counterpart: | VRE, ESBL and MRO Colonization |
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
This code is about resistance to Vancomycin. We also collect administration of Vancomycin as part of our Pharmacy Collection.
As of 2019, the way that the microbiology laboratory indicates that an enterococcus is VRE (resistant to vancomycin) is a comment that "VRE is isolated".
Includes: Vancomycin resistant Enterococcus species (VRE) ([https://en.wikipedia.org/wiki/Vancomycin-resistant_Enterococcus)
Related to other data we collect
This has nothing to do with vanco alternatives from a perspective of lists or cross-checks, since the drugs in vanco alternatives are unrelated drugs.
Alternate ICD10s to consider coding instead or in addition
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
Antibiotic resistance
Antibiotic resistance is coded as Combined ICD10 codes of the condition/pathogen and the resistance. See Antibiotic Resistant Organism for more info.
Related CCI Codes
Related Articles
Show all ICD10 Subcategories