2 rows · A04.71. Enterocolitis due to Clostridium difficile, recurrent. A04.72. Enterocolitis due to ...
· Enterocolitis due to Clostridium difficile, not specified as recurrent. A04.72 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM A04.72 became effective on October 1, 2021. This is the American ICD-10-CM version of A04.72 - other international versions of ICD-10 A04.72 …
All patients with a positive laboratory result for C. difficile(Bact+) and/or the ICD-10 discharge code for C. difficileinfection, A04.7, as principal or associated diagnosis (ICD10+), were identified. For patients with multiple laboratory results during …
· All patients with a positive laboratory result for C. difficile (Bact+) and/or the ICD-10 discharge code for C. difficile infection, A04.7, as principal or associated diagnosis (ICD10+), were identified. For patients with multiple laboratory results during the same hospitalization, we used only the initial result.
ICD-10 code A04. 7 for Enterocolitis due to Clostridium difficile is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
C. diff (also known as Clostridioides difficile or C. difficile) is a germ (bacterium) that causes severe diarrhea and colitis (an inflammation of the colon).
19: Personal history of other infectious and parasitic diseases.
C. diff is a spore-forming, Gram-positive anaerobic bacillus that produces two exotoxins: toxin A and toxin B. It is a common cause of antibiotic-associated diarrhea (AAD) and accounts for 15 to 25% of all episodes of AAD.
Clostridium difficile is the primary cause of hospital-acquired colitis in patients receiving antibiotics. The pathogenicity of the organism is mainly due to the production of toxins.
A positive result for C. difficile bacteria or C. difficile antigen (GDH) but a negative C. difficile toxin result means that the bacteria are present in the digestive tract but are not producing a detectable level of toxin. A negative test result for the C.
9: Fever, unspecified.
ICD-10-CM Code for Diarrhea, unspecified R19. 7.
ICD-10 | Diarrhea, unspecified (R19. 7)
This test detects and presumptively differentiates the BI/NAP1/027 strain from other toxigenic strains of C difficile. Detection of BI/NAP1/027 strains of C difficile is presumptive and is solely for epidemiological purposes and is not intended to guide or monitor treatment for C difficile infections.
You are more likely to get a C. diff infection if you take antibiotics for more than a week. C. diff spreads when people touch food, surfaces, or objects that are contaminated with feces (poop) from a person who has C.
Antibiotics are the mainstay to treat C. difficile infection. Commonly used antibiotics include: Vancomycin (Vancocin HCL, Firvanq)
All patients with a positive laboratory result for C. difficile (Bact+) and/or the ICD-10 discharge code for C. difficile infection, A04.7, as principal or associated diagnosis (ICD10+), were identified. For patients with multiple laboratory results during the same hospitalization, we used only the initial result.
The sensitivity and specificity of surveillance for Clostridium difficile infections according to International Classification of Diseases, 10th revision, codes were compared with laboratory results as standard. Sensitivity was 35.6%; specificity was 99.9%. Concordance between the 2 methods was moderate. Surveillance based on ICD-10 codes underestimated the rate based on laboratory results.
This study covers an 11-year period and provides a large study population and more comprehensive analysis of the performance of ICD-10 codes. Our results indicate that surveillance for C. difficile infections based on ICD-10 codes underestimates the rate of C. difficile infections based on microbiological findings at Saint-Antoine Hospital. Even though trends in C. difficile infections incidence for the 2 methods correlated strongly, concordance was moderate.
The sensitivity of ICD-10 codes in this study is inferior to values previously reported in the United States (71%–78%) and in Singapore (49.6%) ( 8–11 ). Poor sensitivity and variability among wards could be attributed to differences in awareness by health care professionals of C. difficile infections and to differences in coding practices. At Saint-Antoine Hospital, coding is performed by physicians with limited training, not by trained medical coders. Therefore, the quality of coding can vary from 1 physician to another and among wards. In addition,, differences in sensitivity could be explained by changes in hospital financing. As of 2006, funding for hospitals in France has been connected to coding through Activity Based Payment ( 13 ). Comparison of average sensitivity before and after 2006 showed an overall increase, indicating that coding practices might improve with time as hospitals adapt to this system.
The sensitivity of ICD-10 codes can be highly variable, and this method should be validated in different health care settings before being used for surveillance.
The 2021 edition of ICD-10-CM A04.7 became effective on October 1, 2020.
The 2022 edition of ICD-10-CM A04.7 became effective on October 1, 2021.
Clostridium Difficile Enterocolitis (C. diff) is a diagnosis that coders see a lot these days. This is a bacteria that causes inflammation in the large intestine (colitis) and may cause watery diarrhea, fever, nausea and abdominal pain. C. diff causes antibiotic-associated colitis by colonizing the intestine after the normal gut flora is altered by ...
Metronidazole (Flagyl), Vancomycin or Fidaxomicin are the most common medications used to treat C. diff. Bezlotoxumab (ZINPLAVA) is used to treat patients that are at high risk for recurrence or those that are already receiving another antibiotic.
The type of treatment of C. diff depends on the patient. In some cases, discontinuation of an antibiotic is all that is needed. Oftentimes, however, patients need to be placed on a different type of antibiotic.
There is now a new code for reporting recurrent C. difficile colitis for discharges after 10/1/2017. This code should be reported based only on provider documentation. By adding the new code to show recurrent infections, better statistical analysis will be had.
2. Diarrhea secondary to acute gastroenteritis with negative Clostridium
The ELISA for toxin is known to have a super high rate of false negative tests.. Up to 75% of the time you can get a negative test for this even when the C. Diff is present