Toxicology, blood, alcohol, positive: Difference between revisions
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Ttenbergen (talk | contribs) m removed {{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}} as this is a lab finding and it doesn't apply |
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =| CurrentStatus = | | OldDxArticle =Etoh OD/Intoxication | ||
| CurrentStatus = reconciled | |||
| InitialEditorAssigned = Stephanie Cortilet | | InitialEditorAssigned = Stephanie Cortilet | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=R78.0 | | ICD10 Code=R78.0 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Testing}}{{ICD10 category|Alcohol related}} | |||
== Additional Info == | == Additional Info == | ||
{{ICD10 Guideline abnormal test}} | |||
{{ICD10 Guideline repeated events}} | |||
== Alternate ICD10s to consider coding instead == | == Alternate ICD10s to consider coding instead or in addition == | ||
*Alcohol (ethanol) acute intoxication (drunkenness) | {{ListICD10Category | categoryName = Alcohol related}} | ||
*[[Toxicology, blood, alcohol, positive]] | |||
*[[Toxicology, blood, opiates, positive]] | |||
*[[Toxicology, blood, cocaine, positive]] | |||
*[[Toxicology, blood, addictive drugs NOS, positive]] | |||
*[[Toxicology, urine, illicit drugs, positive]] | |||
*[[Alcohol (ethanol) acute intoxication (drunkenness)]] | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
{{ICD10 Guideline Trauma w mechanism}} | |||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 17:04, 4 May 2023
| ICD10 Diagnosis | |
| Dx: | Toxicology, blood, alcohol, positive |
| ICD10 code: | R78.0 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Abnormal test
- This code identifies an abnormal test result, not a disorder.
- The preference is to code the cause of the abnormal test, if known.
- also coding this abnormal test, along with the cause is optional however, it is not necessary.
- When the DX is not known, code likely related other tests and signs and symptoms as Combined ICD10 codes; some likely ones might be listed in #Candidate Combined ICD10 codes.
Repeated events
If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.
| Example: |
|
Alternate ICD10s to consider coding instead or in addition
| Alcohol related codes: |
- Toxicology, blood, alcohol, positive
- Toxicology, blood, opiates, positive
- Toxicology, blood, cocaine, positive
- Toxicology, blood, addictive drugs NOS, positive
- Toxicology, urine, illicit drugs, positive
- Alcohol (ethanol) acute intoxication (drunkenness)
Candidate Combined ICD10 codes
Traumas and their Mechanisms
- In ICD10, traumas need to be combined with separate mechanism codes to fully explain the situation.
- Here are lists of the codes for "mechanical" injuries to various body parts:
- some codes are always traumatic and always need a mechanism:
| Trauma codes: |
- Other codes may or may not be of a traumatic nature; these also qualify to be coded with trauma mechanisms listed below:
| Potential trauma codes: |
- Here is a list of the external mechanism or agent that caused the trauma:
| Mechanism codes: |
Regarding Multiple Trauma
- When a person has multiple body areas traumatized, code Multiple trauma
- When using Multiple trauma also code the individual things traumatized, e.g. leg, arm, head, etc.
- Code Multiple trauma and all the individual things traumatized as Combined ICD10 codes
- And in this case, assuming that they all have the same mechanism of injury (e.g. Mechanism of injury: motorcyclist), then you'd also code that Mechanism code as the same Combined ICD10 codes.
- If the multiple trauma is the primary admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma
Iatrogenic injuries
- Some iatrogenic codes are self-explanatory for what occurred. For example Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection. But for others, such as Iatrogenic, puncture or laceration, related to a procedure or surgery NOS it's not clear what happened, i.e. what was iatrogenically injured.
- In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
- that one exception is you should code Rib fracture(s) due to CPR in the context of CPR, cardiac resuscitation.
- Instead, combine the iatrogenic code with another ICD10 code indicating the body part involved.
- e.g. for iatrogenic laceration of a pulmonary artery, combine: Iatrogenic, puncture or laceration, related to a procedure or surgery NOS with Disorder of pulmonary vessels, NOS. See list of NOS codes in ICD10.
- In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
| Related articles: |
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