List of ICD10 Diagnoses we don't code: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
(Joanna is right we do have a code for that; updated the pages and cleaning out the question. Past history, loss of limb(s) Amputation)
 
(22 intermediate revisions by 4 users not shown)
Line 1: Line 1:
See also: [[List of CCI procedures we don't code]]
See also: [[List of CCI procedures we don't code]]. For a general rationale of how we decide what to include, see [[Reasoning around moving to ICD10 and our subset of it]].
for the list of old Dxs we don't code, see [[List of Diagnoses we don't code]]


Might help resolve these: [[ICD10_Diagnosis_List]].
== Dxs that we have considered and '''decided not to code''' ==
We have considered and decided not to code the following:  
*Allergies in general (but do code any [[Anaphylactic reaction (anaphylaxis)]] or [[Category:Allergy|Allergy]] code if it occurs)
*Muscle Spasm
*Intravenous drug abuse (IVDA) - we have [[Illicit drug use]], but there is no ICD10 code for specifically IVDA and we don't have a specific need to add a special code <!-- as per [[Task Team Meeting - Rolling Agenda and Minutes 2019# ICU Database Task Group Meeting – February 6, 2019]]-->


== Dxs Collectors have asked about ==
=== lump dxs ===
<!-- if you put questions in here, make sure you add the {{Discuss | who = Allan | question = <question> }} to that. -->
We have some lump dxs (e.g. [[Mass, lump or swelling, skin or subcutaneous tissue, NOS]], [[Breast, unspecified lump (nodule, mass)]], [[Mass, lump or swelling, intra-abdominal or pelvic]]). These are intended for tactile findings.


== Dxs that we have considered and decided not to code ==
For lumps or masses that are detected in imaging rather than tactile the appropriate abnormal imaging code:
*Muscle Spasm
{{ListICD10Category | categoryName = Imaging}}
*Mild cognitive impairment/decline
 
**There are options here, one could decide to use, as appropriate: [[Encephalopathy, NOS]] or [[Encephalopathy, septic or metabolic]] or [[Brain disorder, NOS]].  However, this is such a vague and variable term, that it's rarely appropriate to code it in the absence of a specific disorder/disease.
We don't code local invasion of a tumor that has not (yet) caused an actual complication. If there is a complication, code that.
 
See also: [[Tumor]]
 
=== "work-up for cancer" / i.e. old *06 subcodes for all tumors ===
See [[Template:ICD10 Guideline Cancer]]


== lung mass ==
== Other dxs collectors think should be included ==
{{Discuss | who = Allan | question = 1
If we don't have a dx code and you think we should have it, put a discussion here (use the pink button in the button bar). We will review it and either add it, or explain which code it should be coded under and make sure a future search would find it, or add an explanation above that we ''decided'' not to code it and why.
We have some "mass" dxs ([[Mass, lump or swelling, skin or subcutaneous tissue, NOS]], [[Breast, unspecified lump (nodule, mass)]], [[Mass, lump or swelling, intra-abdominal or pelvic]] but the list is not comprehensive. For example:
"I have a patient who comes in with vague respiratory and gi symptoms. They did a chest xray and found a lung mass. They are now working him up for a probable lung ca, with mets to various places. In the old coding I would use ca-nyd. I actually use the ca nyd subcode a lot. I’ve talked to you about this before, because there is no ca nyd in icd10. You told me that you either have cancer or you don’t. For this particular patient I really wouldn’t have anything else I could code in icd10 for him. His symptoms are extremely vague. I don’t really like coding just symptoms, if there isn’t a proper admit diagnosis that fits better anyway.  I found a “neoplasm of uncertain behavior (i.e. uncertain if benign or malignant), nos”, but I don’t really like that one. It doesn’t really fit. Is it possible to get something like “admit for workup of malignancy”, or something along those lines?" (Debbie, 12:40, 2018 October 4 (CDT))
How should this be coded? Ttenbergen 12:40, 2018 October 4 (CDT)}}


== Related articles ==
{{Related Articles}}


[[Category: ICD10| *]]
[[Category: ICD10| *]]

Latest revision as of 13:31, 2020 May 5

See also: List of CCI procedures we don't code. For a general rationale of how we decide what to include, see Reasoning around moving to ICD10 and our subset of it.

Dxs that we have considered and decided not to code

We have considered and decided not to code the following:

  • Allergies in general (but do code any Anaphylactic reaction (anaphylaxis) or code if it occurs)
  • Muscle Spasm
  • Intravenous drug abuse (IVDA) - we have Illicit drug use, but there is no ICD10 code for specifically IVDA and we don't have a specific need to add a special code

lump dxs

We have some lump dxs (e.g. Mass, lump or swelling, skin or subcutaneous tissue, NOS, Breast, unspecified lump (nodule, mass), Mass, lump or swelling, intra-abdominal or pelvic). These are intended for tactile findings.

For lumps or masses that are detected in imaging rather than tactile the appropriate abnormal imaging code:

Imaging codes:

We don't code local invasion of a tumor that has not (yet) caused an actual complication. If there is a complication, code that.

See also: Tumor

"work-up for cancer" / i.e. old *06 subcodes for all tumors

See Template:ICD10 Guideline Cancer

Other dxs collectors think should be included

If we don't have a dx code and you think we should have it, put a discussion here (use the pink button in the button bar). We will review it and either add it, or explain which code it should be coded under and make sure a future search would find it, or add an explanation above that we decided not to code it and why.

Related articles

Related articles: