Isolation, infectious: Difference between revisions

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==Additional Info==

*This is a procedure code for a patient who is on ~~any sort of~~ infection isolation precautions.

=== 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]].

=== Definition ===

*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

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**mask

**negative pressure room use

**reverse isolation

**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

~~{{DA|For a patient with primary admit~~ of ~~CHF who is placed on~~ [[~~Isolation, infectious~~]] ~~on arrival to ward for pre existing MRSA, is the isolation coded as~~ an ~~admit~~ or ~~acquired CCI~~ procedure? If ~~acquired, what date is to be entered,~~ the ~~last date~~ of ~~isolation? }}~~

=== 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]].

=== ~~Isolation~~ for Use of Cytotoxic Agents ===

=== 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.

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==Related ICD10 Codes==

== Data use ==

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

== Related Articles ==

@@ Line 7: / Line 7: @@
 ==Additional Info==
-*This is a procedure code for a patient who is on any sort of infection isolation precautions.
+=== 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]].
+=== Definition ===
+*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
@@ Line 13: / Line 21: @@
 **mask
 **negative pressure room use
-**reverse isolation
+**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 -->
-{{DA|For a patient with primary admit of CHF who is placed on [[Isolation, infectious]] on arrival to ward for pre existing MRSA, is the isolation coded as an admit or acquired CCI procedure? If acquired, what date is to be entered, the last date of isolation? }}
+=== 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]].
-=== Isolation for Use of Cytotoxic Agents ===
+=== 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}}
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 ==Related ICD10 Codes==
 {{Data Integrity Check List}}
+== Data use ==
+* [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]
 == Related Articles ==