Trauma post-op vs non post-op: Difference between revisions

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In [[HSC SICU Collection Guide]] it said
{{LegacyContent
|explanation=from old dx coding schema, and there is no counterpart in ICD10/CCI
|content=


moved to [[Operating room visits]]
This article explains the difference between post-op and non-postop trauma codes and how they are used.


If a trauma patient has an injury that is ''not initially'' treated before unit/ward arrival, code this as a '''non-post-op''' trauma admit diagnosis.


== general surgery vs trauma vs post-op ==
If a trauma patient has an injury that ''is'' treated before unit/ward arrival, code this as a '''post-op''' trauma admit diagnosis.
"'''''A trauma patient who has an injury that is not initially treated e.g. subdural hematoma non-post-op MVA, but subsequently has this evacuated in the OR will have that coded as a complication under Trauma, but now as post-op.'''''"


*Again, if this is true it is likely not only for HSC SICU. Is this true for all Critical Care? Is it even true for Medicine? Is there maybe an article addressing this already? I was unable to find it... Ttenbergen 22:39, 2013 August 26 (CDT){{discussion}}
If a trauma patient is admitted to your ward/unit and is then sent to the OR for treatment and returns directly to your unit (not to RR or surgery ward), code this as a '''post-op''' trauma complication/acquired diagnosis.  
**Is this specific to trauma? Likely would be true for any dx caused by a OR visit during admission, no? Ttenbergen 22:43, 2013 August 26 (CDT){{discussion}}
***HSC_SICU is the primary trauma center however, it can be applicable to any ICU or medicine unit.  This intruction highlights the process on how to use the trauma codes of "non post op" and "post op" in the circumstance described above..


If a patient acquires a trauma on the ward/unit, code this as a '''non-post-op''' trauma complication/acquired diagnosis


"'''''*If the patient is a trauma who subsequently goes to the OR, the diagnosis is found under TRAUMA, e.g. a craniotomy to evacuate a traumatic SDH from an MVA, will be a complication of 'Subdural hematoma-POST-OP - MVA'. '''''"
===examples===
*this was just another example in regards to how apply the trauma codes and not the neuro surgery codes
*Patient arrives on unit after MVA with untreated subdural hematoma
** admitting diagnosis is Subdural Hematoma '''Non-Post-op''' MVA
*Patient is then taken to OR for a craniotomy to evacuate a traumatic SDH from an MVA
** the complication/acquired DX is '''Subdural hematoma-'''POST-OP''' - MVA'''
}}


 
[[Category:Trauma (old)]]
[[Category:Admit/Discharge]]
[[Category:Trauma Surgery (old)]]
[[Category:Data Collection Guide]]
[[Category:Trauma Non Post OP (old)]]

Latest revision as of 16:56, 13 February 2019

Legacy Content

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  • Explanation: from old dx coding schema, and there is no counterpart in ICD10/CCI
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This article explains the difference between post-op and non-postop trauma codes and how they are used.

If a trauma patient has an injury that is not initially treated before unit/ward arrival, code this as a non-post-op trauma admit diagnosis.

If a trauma patient has an injury that is treated before unit/ward arrival, code this as a post-op trauma admit diagnosis.

If a trauma patient is admitted to your ward/unit and is then sent to the OR for treatment and returns directly to your unit (not to RR or surgery ward), code this as a post-op trauma complication/acquired diagnosis.

If a patient acquires a trauma on the ward/unit, code this as a non-post-op trauma complication/acquired diagnosis

examples

  • Patient arrives on unit after MVA with untreated subdural hematoma
    • admitting diagnosis is Subdural Hematoma Non-Post-op MVA
  • Patient is then taken to OR for a craniotomy to evacuate a traumatic SDH from an MVA
    • the complication/acquired DX is Subdural hematoma-POST-OP - MVA
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