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| {{DX tag | Arrest |
| | This is the diagnosis for just a plain arrest where the situation is not known. If known it is preferred to code one of |
| * 100-01 - Unwitnessed Cardiac
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| * 100-02 - Witnessed Cardiac
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| * 100-03 - Witnessed Resp | 100-xx | '''Critical Care and Medicine''' | Currently Collected }}
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| == Cardiac Arrest Unwitnessed 100-01 ==
| | '''NEW ICD10''' coding system (''after'' Dec 31, 2018) |
| | *[[Respiratory arrest]] |
| | *[[Cardiac arrest]] |
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| | {{LegacyContent |
| | |explanation=Old dx coding system |
| | |content= |
| | * [[Witnessed Cardiac Arrest]] |
| | * [[Unwitnessed Cardiac Arrest]] |
| | }} |
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| == Cardiac Arrest Witnessed 100-02 ==
| | [[Category:Diagnosis Coding (old)]] |
| | | [[Category:Arrest (old)]] |
| For hospital witnessed arrests, code as a witnessed arrest (100-2) only if event was witnessed '''by hospital medical staff''', this does not include house keeping, maintainence or visiting family.''[[User:TOstryzniuk|TOstryzniuk]] 18:43, 25 June 2008 (CDT)
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| == Respiratory Arrest 100-03 - Data Integrity Rules ==
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| (as of 5 June 2000) | |
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| '''Never use 100-03 as primary admit diagnosis.'''
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| Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':
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| * A. “99” is called
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| * B. “99” record is completed
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| * C. Pulse is present
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| * D. Intubation is required
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| == Legacy Data ==
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| {{DX tag | Cardiac Arrest While on Unit | multiple | 150-** | '''Critical Care and Medicine''' | No longer collected }}
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| *When the Database Program started in mid June 1988 we had two different codes for cardiac arrest. Code 100 (with subcodes 0-3) was to used only in the admit diagnosis slots and code 150 (with subcodes 0-3) was to be use only in acquired/complication code slots. The initial DOS database had many limitation we had to work around.
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| *In 2005/06 all acquired/complication codes of 150 were mapped to the correct 100 code by Trish and a utility program was written by our database programmer TMS LTD to automate the conversion. process.''.[[User:TOstryzniuk|TOstryzniuk]] 18:39, 25 June 2008 (CDT)
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| {{discussion}}
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| == Discussion ==
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| * Tina received an email saying:
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| ''"4.Cardiac arrests
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| ''This code should be only used when the patient arrested and was admitted to the medical unit bypassing ICU.If the patient arrested and went to ICU/CCU then ICU will capture this code.Medicine will code the current patient problems as the admit diagnosis."''
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| **''Is that so? The paper manual might have this detail, I'll add it if I can find confirmation.''
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| ***''This hasn't been worked out yet?? On Medicine we actually have people admitted to the ward after having a cardiac arrest.If you put the arrest down for patients who had their arrest,went to ICU and then the ward it makes it difficult to capture the patients who had cardiac arrests and then went directly to the ward.I usually just put the relevent issues that apply to the medical admission ie.MI, CHF etc''.[[User:GHall|GHall]] 16:25, 14 May 2008 (CDT)
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| *Cardiac arrest question on wiki and from meeting June 12.[[User:TOstryzniuk|TOstryzniuk]] 16:30, 25 June 2008 (CDT)
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| ''To maintain consistency and keep the collection practice the same as how we have always done it (whether it is correct or not, at least it is consistent):''
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| *'''''Example''':
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| Cardiac arrest & MI, and CHF at home or in ER.
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| Admitted from ER to ICU then transferred from ICU to Med Ward.
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| DX coding:
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| *ICU Admit DX:
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| #cardiac arrest
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| #type of rhythm (if charted)
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| #MI 4. CHF
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| *Med Ward Admit DX:
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| #MI
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| #CHF''
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| '''NOTE:'''
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| *''Primary reason to ICU was cardiac arrest. Issue resolved in ICU so arrest should not be coded as primary reason to ward when patient transferred to the ward.''
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| *''If patient is admitted directly from the ward from ER with the above admitting DX then cardiac arrest is the primary reason for admission to medicine ward from the ER.
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| *Does this clear up the question? Does someone want to update WIKI and reword? Let me know.''[[User:TOstryzniuk|TOstryzniuk]] 16:30, 25 June 2008 (CDT)
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| == Discussion ==
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| * Point made at meeting in June: "It's impossible to see how many occur right before admission to Medicine as some patients are admitted to medicine bypassing ICU."
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| This point seems to refer to directions that were given in addition to the Coding Guide. Could someone add those directions in here for reference?
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| {{stub}}
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| [[Category:Diagnosis Coding]]
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| [[Category:Legacy Data]]
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| [[Category:Data Integrity Rules]]
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This is the diagnosis for just a plain arrest where the situation is not known. If known it is preferred to code one of
NEW ICD10 coding system (after Dec 31, 2018)
Legacy Content
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- Explanation: Old dx coding system
- Successor: No successor was entered
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