Subacute sclerosing panencephalitis (SSPE) (caused by Measles virus)

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ICD10 Diagnosis
Dx: Subacute sclerosing panencephalitis (SSPE) (caused by Measles virus)
ICD10 code: A81.1
Pre-ICD10 counterpart: Meningoencephalitis
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: Neuro NOS
External ICD10 Documentation
This diagnosis is a part of ICD10 collection.

Additional Info

Meningoencephalitis is always viral or other atypical pathogen..but it is NOT bacterial or fungal.

This DX is not the same as Meningitis

   http://www.encephalitis.info/information/types-of-encephalitis/types-of-infectious-encephalitis/
   https://en.wikipedia.org/wiki/Encephalitis

bacterial encephalitis - not applicable

   in researching encephalitis, it does appear that bacterial meningitis like pneumococcal meningitis can lead to encephalitis (although it is very rare). Our codes presently do not allow a bacterial pathogen for meningoencephalitis and we do not have a code for only encephalitis. I put two websites above if anyone is interested. Should we allow a pathogen option for meningoencephalitis in light of this?--LKolesar 14:23, 2015 September 23 (CDT)
       encephalitis is a DX code with the proper term being meningoencephalitis. But it is not meningitis.
       Encephalitis/meningoencephalitis is always viral or other atypical pathogen..but it is NOT bacterial or fungal. So the pathogens we have listed are adequate.
       Meningitis however, can be bacterial, fungal or occasionally viral.
       gram pos/neg does NOT apply to meningoenchphalitis. If you think that this is the organism causing the problem, then the underlying condition is probably Meningitis, not encephalitis. (ie: the “meningo” part of “meningoencephalitis” is confusing). Meningoencephalitis is not the same as “Meningitis”…that is a separate diagnosis.--Dr. Anand Kumar, 1330, 2016, February 29.

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.

Infection with implied pathogen

This diagnosis implies its pathogen. A pathogen should not be coded.

Attribution of infections

See Attribution of infections

Related CCI Codes

Data Integrity Checks (SMW)

 AppStatus
Check Inf Infection with implied pathogen must not have a pathogen combined codeCCMDB.accdbimplemented
Query check ICD10 Inf Infection req Pathogen must have oneCCMDB.accdbimplemented
Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogenCCMDB.accdbimplemented
Query check ICD10 Inf Potential Infection must have pathogen or altCCMDB.accdbimplemented
Check Inf Pathogens must have Infection requiring pathogen or Potential InfectionCCMDB.accdbimplemented
Query check ICD10 duplicatesCCMDB.accdbneeds review
Check ICD10 some cant be primaryCCMDB.accdbneeds review

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