Nephrectomy: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older edit
TOstryzniuk (talk | contribs)
CCMDB_legit, approved, Bureaucrats, Administrators
27,522 edits
No edit summary
mNo edit summary
 
(15 intermediate revisions by 3 users not shown)
Line 1: Line 1:
{{DX tag | Renal | [[:Category:Renal Surgery|Renal Surgery]] | Nephrectomy |  
{{DX tag | Renal | [[:Category:Renal Surgery (old)|Renal Surgery]] | Nephrectomy |  
* [[80100 - NEPHRECTOMY]]
* 80100 - NEPHRECTOMY
* [[80101 - Kidney Donor]]
* 80101 - Kidney Donor
* [[80102 - Tumor]]
* 80102 - Tumor
* [[80103 - Other]] | 80100 | No | 0 | CC and Med | Currently Collected
* 80103 - Other | 80100 | No | 0 | CC and Med | Currently Collected
  |  | }}
  |  | }}


Nephrectomy, removal of a kidney.  
Nephrectomy, removal of a kidney.  


== Kidney Donation ==
For nephrectomy as part of a kidney donation for a renal transplant also see [[Renal Transplant]]
For nephrectomy as part of a kidney donation for a renal transplant also see [[Renal Transplant]]


* Admit: Recovery Room  
* [[Previous Location]]: Recovery Room  
* Patient Type (Registry): Surgical
* [[Admit Type for APACHE II]]: Elective Surgery
* [[Previous Service]] : Urology surgery
* If a patient is admitted to another unit post-op then transferred to your unit, another problem needs to go in the first admit spot. The program doesn't allow this procedure to go first unless they come from the OR. No changes will be made to this process. April 10,2013
* Initial vital signs are taken from the last recorded in recovery.
* The admission diagnosis will be [[Nephrectomy]] - Kidney Donor (80101)
* The Nephrologists state the donors always have a renal biopsy on the donor kidney, but the surgeon may not document this.
** ++Discussion++ why is this relevant? Is this something we would code, and if so as what, something in [[:Category:Biopsy (old)]]? Ttenbergen 10:16, 2015 August 27 (CDT)
** Yes the donor will have kidney biopsy also included in the diagnosis. (Judy K. 14 sept 2015)


== possible change in process ==
Patient was admitted from OR -> H3 -> D4 after Nephrectomy on same day and was only there a short time. Was unable to enter nephrectomy as admit dx because the patient did not come from an OR. Patient was sent by entering "pain control", but that was because checks would not allow using nephrectomy, not because of evidence in chart.


Apparently we might see more of these because the procedure is now done laparoscopically leading to very short stays on the surgery ward.
[[Category:Renal Problem (old)]]
 
I am proposing to remove the requirement for admission from OR from this diagnosis. If there is a problem with that, please let me know.
 
*sent email to confirm this change would be OK... Ttenbergen 17:21, 2013 March 14 (EDT)
*I am not sure that you want to open this can of worms.  There are many patients who come on the first day of surgery from various places (not direct from the OR).  At present we just look for a diagnostic code as reason for admission and then put the surgical procedure as the #2 diagnosis.  If you are going to change this for nephrectomy only that does not make sense.  Either leave it or change this for all diagnosis. I think we need to discuss this in the task group.--[[User:LKolesar|LKolesar]] 07:52, 2013 March 15 (EDT)
**Lets not start changing process in the middle of no where. Laura point is correct. --[[User:TOstryzniuk|Trish Ostryzniuk]] 19:25, 2013 April 9 (EDT)
*** Good point Laura, I am putting it on the agenda for the next meeting. Ttenbergen 10:26, 2013 March 18 (EDT)
 
[[Category: Renal Problem]]

Latest revision as of 00:20, 6 February 2019

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Renal (old)

Type:

[[:Category: Renal Surgery (old)]][[Category: Renal Surgery (old)]]

Main Diagnosis: Nephrectomy
Sub Diagnosis:
  • 80100 - NEPHRECTOMY
  • 80101 - Kidney Donor
  • 80102 - Tumor
  • 80103 - Other
Diagnosis Code: 80100
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC and Med
Status: Currently Collected


Nephrectomy, removal of a kidney.

Kidney Donation

For nephrectomy as part of a kidney donation for a renal transplant also see Renal Transplant

  • Previous Location: Recovery Room
  • Admit Type for APACHE II: Elective Surgery
  • Previous Service : Urology surgery
  • If a patient is admitted to another unit post-op then transferred to your unit, another problem needs to go in the first admit spot. The program doesn't allow this procedure to go first unless they come from the OR. No changes will be made to this process. April 10,2013
  • Initial vital signs are taken from the last recorded in recovery.
  • The admission diagnosis will be Nephrectomy - Kidney Donor (80101)
  • The Nephrologists state the donors always have a renal biopsy on the donor kidney, but the surgeon may not document this.
    • ++Discussion++ why is this relevant? Is this something we would code, and if so as what, something in Category:Biopsy (old)? Ttenbergen 10:16, 2015 August 27 (CDT)
    • Yes the donor will have kidney biopsy also included in the diagnosis. (Judy K. 14 sept 2015)
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Nephrectomy&oldid=134593"