Tachyarrythmias: Difference between revisions

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{{DX tag | Cardiovascular | Medical Problem | TACHYARRYTHMIAS |
{{PreICD10 dx| NewDxArticle = Supraventricular tachycardia, paroxysmal}}
*1 Ventricular tachycardia  
{{PreICD10 dx| NewDxArticle = Atrial fibrillation and/or atrial flutter}}
*2 Supraventricular Tach
{{PreICD10 dx| NewDxArticle = Ventricular fibrillation }}  
*3 Atrial Fibrillation/Flutter
*4 Ventricular Fibrillation
*90 Other| 131-00 | No | 0 | '''Critical Care and Medicine'''| Currently Collected |  |}}


{{DX tag | Cardiovascular Problems | Medical Problem | Tachyarrythmias | |
*13100 - Tachyarrythmias
*13101 -  V-tach
*13102 -  Supra Ventricular Tach.
*13103 -  Atrial Fib/Flutter
*13104 -  Vent. Fib.
*13190 -  Other
*13004 -  Torsades De Pointes
| No | 0 | CC & Med | Currently Collected |  |}}


==Definition==
== Guidelines ==
* If requires defibrillation/cardioversion or Tx with
=== For ICU ===
* continuous antiarrythmics infusion
* Receiving Tx with at least one of
* bolus Tx does not qualify
** defibrillation/cardioversion  
** continuous antiarrhythmics infusion
* bolus Tx does not qualify in Critical Care


{{discussion}}
=== For Medicine ===
==Discussion==
(changed 1 Jun 09)
Summary: DCs think the current definition misses important
* '''new onset''' with:  
Tachyarrythmia cases because of the way they are managed on
** EKG/Rhythm strip showing tachyarrythmia
med wards. Would we be able to include all that are
**and receiving drug or electronic treatment for the new onset
continuously monitored? [[User:Ttenbergen|Ttenbergen]] 13:55, 28 May 2009 (CDT)


* On Medicine wards we get many patients in rapid atrial fibrillation that require bolus treatments. By the code book definition they do not qualify for coding as atrial fibrillation because they are not getting continuous infusions. I think this definition is outdated. Are other data collectors coding unstable atrial fibrillation on Medical wards?[[User:GHall|GHall]] 15:55, 16 April 2009 (CDT)
== Legacy ==
**We are not trying to capture every patient who has had a rhythm disturbance and was given a few bolus's to rectify the problem.  The population that we are tracking in this group is small because we only want to capture rhythm disturbances that require this more severe level of TX. --[[User:TOstryzniuk|TOstryzniuk]] 17:20, 16 April 2009 (CDT)
*13197 - this hosp adm but prior to ward adm
***We have patients who are admitted to the high observation unit for EKG monitoring and treatment of rapid atrial fibrillation which traditionally in the past would be admitted to an intensive care unit.This is uncontrolled atrial fibrillation.[[User:GHall|GHall]] 18:43, 16 April 2009 (CDT)
****At the Vic we have patients who are admitted to the ward with EKG telemetry for uncontrolled symptomatic atrial fib treated with boluses this is their admitting diagnosis per physician. Should we not be coding this?[[User:SKiesman|SKiesman]] 09:15, 17 April 2009 (CDT)
*****HSC old cardiology unit admits patients from ER due to AF, that require medical mangement and is their sole reason for admission(these patients do not follow the true definition of a tachyarrythmias)--[[User:FLindell|FLindell]] 08:33, 20 April 2009 (CDT)

Latest revision as of 14:15, 2 February 2022



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:Atrial fibrillation and/or atrial flutter, Ventricular fibrillation, Supraventricular tachycardia, paroxysmal

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Cardiovascular Problems (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Tachyarrythmias
Sub Diagnosis:
Diagnosis Code:
  • 13100 - Tachyarrythmias
  • 13101 - V-tach
  • 13102 - Supra Ventricular Tach.
  • 13103 - Atrial Fib/Flutter
  • 13104 - Vent. Fib.
  • 13190 - Other
  • 13004 - Torsades De Pointes
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Currently Collected


Guidelines

For ICU

  • Receiving Tx with at least one of
    • defibrillation/cardioversion
    • continuous antiarrhythmics infusion
  • bolus Tx does not qualify in Critical Care

For Medicine

(changed 1 Jun 09)

  • new onset with:
    • EKG/Rhythm strip showing tachyarrythmia
    • and receiving drug or electronic treatment for the new onset

Legacy

  • 13197 - this hosp adm but prior to ward adm
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