Isolation, infectious: Difference between revisions

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{{CCI PickList Procedure

| CCI_Picklist_Code = 7.SC.70.SA

|CCI_Picklist_Code=7.SC.70.SA

| ~~CCI_Category~~ = ~~Other Healthcare Interventions~~

|CCI_Collection_Mode=CCI collect first

| StartDate =

|StartDate=2018-04-25

~~| StopDate =~~

}}

== Additional Info ==

==Additional Info==

~~{{CCI_Therapeutic}} {{discussion}} Tina needs to make~~ the ~~infrastructure for "Other Healthcare Interventions"~~

=== Code as Acquired Procedure ===

*While this can be an [[Admit Procedure]] or an [[Acquired Procedure]], it usually will be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why.

*It can, on occasion be coded as both an [[Admit Procedure]] and (later in the admission) as a separate [[Acquired Procedure]].

== ~~Alternate CCIs~~ to ~~consider coding instead~~ or ~~in addition~~ ==

=== Definition ===

* a different ~~code in~~ [[~~:Category:Therapeutic Procedure~~]]

*This is a procedure code for a patient who is on infection isolation precautions.

*The person does NOT have to turn out to have the condition for which isolation is indicated.

**Thus use it if a patient is put on isolation for TB, or COVID-19 even if they turn out NOT to have those infections.

**Can also use it for somebody put on isolation prophylactically, as is the case with reverse isolation.

*It '''includes''' any/all of the following kinds of isolation protocols:

**gloves only

**gloves and gown

**mask

**negative pressure room use

**reverse isolation -- i.e. a person at risk for getting infection (e.g. neutropenic after chemotherapy for cancer) is isolated to try and avoid them being exposed

**cohorting the patient with other patients with the same [[Pathogens|pathogen]]

**use for those AGMP's that are continuous e.g. BIPAP, CPAP, Optiflow . As of May10,2023 only those patients designated as "orange", or "red" require isolation/PPE precautions. "green" patients have no special precautions. Do not use for one time AGMP's where there is no other indication for isolation. e.g intubation, bronchoscopy, CPR, nebulizer medications

=== In the context of [[Colonized with organism (not infected)]] ===

*This code could be either an Admit or Acquired procedure.

**If it qualifies for the rules of [[Admit Procedure]] then use that. If not, use [[Acquired Procedure]].

=== Do not use this code for isolation for Use of Cytotoxic Agents ===

*This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.

== Related Code ==

This code is similar to [[Patient is on isolation (TISS Item)]] but collected as a different [[CCI Collection Mode]], so we decided to keep both.

==Alternate CCIs to consider coding instead or in addition==

== Related ICD10 Codes ==

==Related ICD10 Codes==

(~~enter links to ICD10 codes that would likely go with this CCI procedure, but only in case of close relation, ie not every dx that might require this procedure~~)

== Data use ==

* [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{CCI PickList Procedure
-| CCI_Picklist_Code = 7.SC.70.SA
+|CCI_Picklist_Code=7.SC.70.SA
-| CCI_Category = Other Healthcare Interventions
+|CCI_Collection_Mode=CCI collect first
-| StartDate =
+|StartDate=2018-04-25
-| StopDate =
 }}
+{{CCI category|Misc Px}}
-== Additional Info ==
+==Additional Info==
-{{CCI_Therapeutic}} {{discussion}} Tina needs to make the infrastructure for "Other Healthcare Interventions"
+=== Code as Acquired Procedure ===
+*While this can be an [[Admit Procedure]] or an [[Acquired Procedure]], it usually will be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why.
+*It can, on occasion be coded as both an [[Admit Procedure]] and (later in the admission) as a separate [[Acquired Procedure]].
-== Alternate CCIs to consider coding instead or in addition ==
+=== Definition ===
-* a different code in [[:Category:Therapeutic Procedure]]
+*This is a procedure code for a patient who is on infection isolation precautions.
+*The person does NOT have to turn out to have the condition for which isolation is indicated.
+**Thus use it if a patient is put on isolation for TB, or COVID-19 even if they turn out NOT to have those infections.
+**Can also use it for somebody put on isolation prophylactically, as is the case with reverse isolation.
+*It '''includes''' any/all of the following kinds of isolation protocols:
+**gloves only
+**gloves and gown
+**mask
+**negative pressure room use
+**reverse isolation -- i.e. a person at risk for getting infection (e.g. neutropenic after chemotherapy for cancer) is isolated to try and avoid them being exposed
+**cohorting the patient with other patients with the same [[Pathogens|pathogen]]
+**use for those AGMP's that are continuous e.g. BIPAP, CPAP, Optiflow . As of May10,2023 only those patients designated as "orange", or "red" require isolation/PPE precautions.  "green" patients have no special precautions. Do not use for one time AGMP's  where there is no other indication for isolation. e.g intubation, bronchoscopy, CPR, nebulizer medications
+<!-- discussed inconsistency with Optiflow being included here but not else; yes it is correct that it is excluded elsewhere and included here - discussed at task. 2022-06-22 -->
+=== In the context of [[Colonized with organism (not infected)]] ===
+*This code could be either an Admit or Acquired procedure.
+**If it qualifies for the rules of [[Admit Procedure]] then use that.  If not, use [[Acquired Procedure]].
+=== Do not use this code for isolation for Use of Cytotoxic Agents ===
+*This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.
+== Related Code ==
+This code is similar to [[Patient is on isolation (TISS Item)]] but collected as a different [[CCI Collection Mode]], so we decided to keep both.
+{{CCI Collection Mode}}
+==Alternate CCIs to consider coding instead or in addition==
 {{ListCCICategory | categoryName = Therapeutic Procedure}}
-== Related ICD10 Codes ==
+==Related ICD10 Codes==
-(enter links to ICD10 codes that would likely go with this CCI procedure, but only in case of close relation, ie not every dx that might require this procedure)
+{{Data Integrity Check List}}
+== Data use ==
+* [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]
 == Related Articles ==