High dose chemotherapy as primary admit: Difference between revisions

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{{Discuss | who = all | question =

This page is listed as an exception in [[Definition of a Medicine Service admission]] so I wanted to make sure we include that instruction with the new codes. However, what _is_ the new code for this? Found nothing suitable in [[CCI Picklist]], [[CCI component 2 codes - what was done]], and [[ICD10 Diagnosis List]] only has [[Antineoplastic drug (chemotherapy) ~~used appropriately~~, adverse effect ~~(reaction, allergy, hypersensitivity)~~]] which doesn't seem a real match either. In general we would only code the cancer now, right, but this is a bit of a special case, so do we want to treat it separately?

This page is listed as an exception in [[Definition of a Medicine Service admission]] so I wanted to make sure we include that instruction with the new codes. However, what _is_ the new code for this? Found nothing suitable in [[CCI Picklist]], [[CCI component 2 codes - what was done]], and [[ICD10 Diagnosis List]] only has [[Antineoplastic drug (chemotherapy), adverse effect]] which doesn't seem a real match either. In general we would only code the cancer now, right, but this is a bit of a special case, so do we want to treat it separately?

*AG REPLY -- we don't need this at all and there's no way to code it specifically in ICD10 -- except that such an admission would have the Dx code of the cancer being treated, and the CCI code for the chemotherapy

** emailed Julie and Trish to make sure they are comfortable with this. }}

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 {{Discuss | who = all | question =
-This page is listed as an exception in [[Definition of a Medicine Service admission]] so I wanted to make sure we include that instruction with the new codes. However, what _is_ the new code for this? Found nothing suitable in [[CCI Picklist]], [[CCI component 2 codes - what was done]], and [[ICD10 Diagnosis List]] only has [[Antineoplastic drug (chemotherapy) used appropriately, adverse effect (reaction, allergy, hypersensitivity)]] which doesn't seem a real match either. In general we would only code the cancer now, right, but this is a bit of a special case, so do we want to treat it separately?
+This page is listed as an exception in [[Definition of a Medicine Service admission]] so I wanted to make sure we include that instruction with the new codes. However, what _is_ the new code for this? Found nothing suitable in [[CCI Picklist]], [[CCI component 2 codes - what was done]], and [[ICD10 Diagnosis List]] only has [[Antineoplastic drug (chemotherapy), adverse effect]] which doesn't seem a real match either. In general we would only code the cancer now, right, but this is a bit of a special case, so do we want to treat it separately?
 *AG REPLY -- we don't need this at all and there's no way to code it specifically in ICD10 -- except that such an admission would have the Dx code of the cancer being treated, and the CCI code for the chemotherapy
 ** emailed Julie and Trish to make sure they are comfortable with this. }}