Comorbid Diagnosis: Difference between revisions

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== Collection Instructions ==

=== [[~~Dx_Priority~~]] ===

==== When to code a [[Comorbid Diagnosis]] ====

'''~~You will need~~ to ~~enter priorities for comorbids~~'''. ~~For comorbids~~ the ~~priorities will only be used for grouping~~ [[~~Combined ICD10 codes~~]], not ~~for prioritizing them in any order of importance~~.

*'''Either''':

**Dx is '''chronic''' and was present and known '''prior''' to admission, even if it was only discovered during this admission

**Dx is in the past and is resolved and is included in one of the: [[:Category: Past medical history]] codes

**Dx is '''chronic''' and '''was not known prior to admission'''

***In this situation, code it as a [[Comorbid Diagnosis]] if it is a chronic, '''non-infectious''' condition -- e.g. a cancer, collagen-vascular disease (such as [[Systemic lupus erythematosis (SLE, lupus)]]), COPD, diabetes

***But do NOT code it as [[Comorbid Diagnosis]] if it is a chronic '''infectious''' condition -- such as [[Tuberculosis]] or [[AIDS (disease due to HIV)]] (which if first discovered/identified during the current admission ''would'' qualify as an [[Admit Diagnosis]]).

***Note that this rule does not impact on coding as a [[Comorbid Diagnosis]] an infection which is still present but WAS known pre-admission --- e.g. an osteomyelitis being treated at home with iv antibiotics.

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=== Patient has no comorbidities ===

If a patient has no comorbidities, enter [[No Comorbidities (ICD10 code)]].

=== [[Dx_Priority]] ===

'''You will need to enter priorities for comorbids'''. For comorbids the priorities will only be used for grouping [[Combined ICD10 codes]], not for prioritizing them in any order of importance.

== Transfer of Comorbids on transfer between wards ==

There has been repeated talk about facilitating the collection of comorbids between collectors for different patient ward stays. Specifically, we have talked about a [[Patient copier button]] but decided not to implement it. See [[Patient copier button]] for more.

See [[Patient copier button]] for more.

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 == Collection Instructions ==
-=== [[Dx_Priority]] ===
+==== When to code a [[Comorbid Diagnosis]] ====
-'''You will need to enter priorities for comorbids'''. For comorbids the priorities will only be used for grouping [[Combined ICD10 codes]], not for prioritizing them in any order of importance.
+*'''Either''':
+**Dx is '''chronic''' and was present and known '''prior''' to admission, even if it was only discovered during this admission
+**Dx is in the past and is resolved and is included in one of the: [[:Category: Past medical history]] codes
+**Dx is '''chronic''' and '''was not known prior to admission'''
+***In this situation, code it as a [[Comorbid Diagnosis]] if it is a chronic, '''non-infectious''' condition -- e.g. a cancer, collagen-vascular disease (such as [[Systemic lupus erythematosis (SLE, lupus)]]), COPD, diabetes
+***But do NOT code it as [[Comorbid Diagnosis]] if it is a chronic '''infectious''' condition -- such as [[Tuberculosis]] or [[AIDS (disease due to HIV)]] (which if first discovered/identified during the current admission ''would'' qualify as an [[Admit Diagnosis]]).
+***Note that this rule does not impact on coding as a [[Comorbid Diagnosis]] an infection which is still present but WAS known pre-admission --- e.g. an osteomyelitis being treated at home with iv antibiotics.
 {{ICD10 Guideline Como vs Admit}}
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 === Patient has no comorbidities ===
 If a patient has no comorbidities, enter [[No Comorbidities (ICD10 code)]].
+=== [[Dx_Priority]] ===
+'''You will need to enter priorities for comorbids'''. For comorbids the priorities will only be used for grouping [[Combined ICD10 codes]], not for prioritizing them in any order of importance.
 == Transfer of Comorbids on transfer between wards ==
-There has been repeated talk about facilitating the collection of comorbids between collectors for different patient ward stays. Specifically, we have talked about a [[Patient copier button]] but decided not to implement it. See [[Patient copier button]] for more.
+See [[Patient copier button]] for more.
 {{Data Integrity Check List}}