The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9) code used in this study was 008.45, "intestinal infection due to Clostridium difficile ," and is the only ICD-9 code related to CDAD.
Billable Medical Code for Intestinal Infection Due to Clostridium Difficile Diagnosis Code for Reimbursement Claim: ICD-9-CM 008.45. Code will be replaced by October 2015 and relabeled as ICD-10-CM 008.45. The Short Description Is: Int inf clstrdium dfcile. Known As
Tracking by administrative data is attractive, but ICD-9 code accuracy for C. diff is unknown. By using a large administrative database of hospitalized patients with C. diff (by ICD-9 code or cytotoxic assay), this study found that the sensitivity, specificity, positive, and negative predictive values of ICD-9 coding were 71%, 99%, 87%, and 96% respectively (using micro data as the gold …
Abstract. We conducted a retrospective cohort study to compare Clostridium difficile-associated disease rates determined by C. difficile-toxin assays and International Classification of Diseases, 9th Revision (ICD-9) codes. The correlation between toxin assay results and ICD-9 codes was good (K = 0.72, p<0.01).
C diff colitis may be referred to as c difficile colitis, c difficile diarrhea, clostridium difficile colitis, clostridium difficile colitis infection, clostridium difficile diarrhea, pseudomembranous colitis, pseudomembranous enterocolitis. This can be applied to pseudomembranous colitis.
C diff colitis is a bacteria known as clostridium difficile. It is considered one of the primary causes of infectious diarrhea in the United States. This bacteria can become contagious and passed from person to person. With mild to life threatening symptoms, C diff is diagnosed through stool specimens of intestinal testing.
008.45 is a legacy non-billable code used to specify a medical diagnosis of intestinal infection due to clostridium difficile. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.
Symptoms include. Watery diarrhea (at least three bowel movements per day for two or more days) Fever. Loss of appetite. Nausea. Abdominal pain or tenderness.
The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code.
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 ...
The bacteria is shed in feces and people may become infected if they touch a surface that has been contaminated ( e.g., commode, bathtub) and then touch their mouth or mucous membranes.
CDI has been coded in ICD-10-CM at A04.7 Enterocolitis due to Clostridium difficile. The notes indicate this diagnosis code includes pseudomembranous colitis. Partly due to the higher morbidity of recurrent CDI and the different treatment regimens, the 2018 ICD-10-CM code set distinguishes between recurrent CDI and CDI not specified as recurrent at category code A04.7:#N#A04.71 Entercolitis due to clostridium difficile, recurrent#N#A04.72 Entercolitis due to clostridium difficile, not specified as recurrent#N#Educate providers of the new specificity for recurrent CDI. And remember there was a change to Section 1 of the 2017 ICD-10-CM Official Guidelines for Coding and Reporting to clarify the provider’s role:#N#Code Assignment and Clinical Criteria: The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.#N#Using the new codes allows better tracking of recurrent CDI, and may help with managed care pre-certification processes for alternative treatment regimens by identifying recurrent CDI.
Each year, healthcare treats close to 3 million episodes of CDI, an infection by an anaerobic, gram-positive, spore-forming bacillus, typically manifesting as enterocolitis with acute onset diarrhea, and possibly progressing to pseudomembranous colitis. Typically, it’s diagnosed with positive results from two primary reference tests — the C. diff. cytotoxin neutralization assay and toxigenic culture — after the onset of acute diarrhea, absent some other cause for the diarrhea. Nosocomial transmission is typically a function of environmental surface contamination and touch between staff and other patients. It’s also associated with antibiotic treatment or chemotherapy affecting the normal flora of the colon. CDI costs the healthcare system an estimated at $3.2 billion, annually.#N#As many as 20 percent of patients infected with C. diff. become sick again — either because the first bout never was eliminated or due to a different strain. After two or more bouts of the infection, the recurrence rate more than triples that number. The American College of Gastroenterology has defined recurrent CDI as an “episode of CDI that occurs eight weeks after the onset of a previous episode, provided the symptoms from the previous episode resolved.” The risk of recurrence is higher among patients who: 1 Are older than 65; 2 Are on an antibiotic regimen for an unrelated illness; or 3 Have a significant underlying disorder including malignancies, chronic kidney disease, and chronic liver disease.
CDI Is a Significant Threat. Each year, healthcare treats close to 3 million episodes of CDI, an infection by an anaerobic, gram-positive, spore-forming bacillus, typically manifesting as enterocolitis with acute onset diarrhea, and possibly progressing to pseudomembranous colitis.
Code Assignment and Clinical Criteria: The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.
CDI costs the healthcare system an estimated at $3.2 billion, annually. As many as 20 percent of patients infected with C. diff. become sick again — either because the first bout never was eliminated or due to a different strain. After two or more bouts of the infection, the recurrence rate more than triples that number.