Hepatitis, MRSA/MSSA and Herpes Simplex Documentation

Hepatitis

Hepatitis

 

• Document acuity:

    --Acute

    --Chronic

• Document etiology:

    --Alcoholic

    --Drug (specify)

    --Viral (Type A, B, C, or E)

• Document also:

    --With hepatic coma

    --Without hepatic coma

    --With delta agent

    --Without delta agent

• Document any associated diagnoses/conditions

 

 

MRSA/MSSA

 

Methicillin-resistant Staphylococcus aureus

• Include documentation of “MRSA infection” when the patient has that

condition.

• Document if sepsis and/or septic shock is present.

• Document any associated diagnoses/conditions.

Methicillin susceptible Staphylococcus aureus

• Include documentation of “MSSA infection” when the patient has that

condition.

• Document if sepsis, and/or septic shock is present.

• Document any associated diagnoses/conditions.

Herpes Simplex

• Specify if “Eczema herpeticum” is present.

• Document if “Herpesviral vesicular dermatitis” is present

    --Herpes simplex facialis

    --Herpes simplex labialis

    --Vesicular dermatitis of ear or lip

• Document if “Herpesviral gingivostomatitis and pharyngotonsillitis”

are present

• Document if “Herpesviral meningitis” is present

• Specify if “Herpesviral encephalitis” is present

• Simian B disease

• Document if “Herpesviral ocular disease” is present

    --Herpesviral iridocyclitis

    --Herpesviral keratitis

    --Herpesviral conjunctivitis

• Specify if “Disseminated herpesviral disease” is present

• Document if “Other forms of herpesviral infections” are present

    --Herpesviral hepatitis

    --Herpes simplex myelitis

    --Other herpesviral infection

    --Herpesviral whitlow

• Document any associated diagnoses/conditions