Tracheostomy, has one: Difference between revisions

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== Additional Info ==
== Additional Info ==
*This code should only be used as a comorbid diagnosis -- because if putting in the trach was related to admission, or happened after admission, then you wouldn't code this diagnosis, but instead as a CCI procedure code, specifically '''[[Tracheostomy creation]]'''.
*This code can be used as a comorbid, admit, or acquired diagnosis --
*{{discussion}} This code could be used as an admit code if the patient is a transfer from another ICU.  For example, the patient was in ICMS and there had a trach created,  later, the patient was transferred to ICCS.  The data collector there will have "tracheostomy, has one" in her admit codes.  She would not put it in her comorbids.  Our integrity checks do not allow this it seems.  How do you want to resolve this?  --[[User:LKolesar|LKolesar]] 11:36, 2019 April 12 (CDT)
*Admit diagnosis: For IICU patients with chronic resp failure, code [[Respiratory failure (insufficiency), chronic]]  and [[Tracheostomy, has one]] The same rules are applied to medicine. So if a patient is transferred to medicine from IICU with a Trach and on O2, use the same codes [[Respiratory failure (insufficiency), chronic]] linked with [[Tracheostomy, has one]]
*Comorb diagnosis: Do not code [[Tracheostomy, has one]] as a comorb unless they had the tracheostomy prior to this episode of care,  
*Acquired diagnosis:  [[Tracheostomy, has one]]  is used as an acquired diagnosis if the patient undergoes this procedure after they are accepted to an ICU or medicine service[[Tracheostomy creation]] CCI code should also be entered. Do not code the CCI code if the trach was already present, unless on admission they have a complication that is directly related to the tracheostomy, see [[Admit Procedure]]
 
{{ICD10 Guideline Tracheostomy}}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
* code [[Tracheostomy care]] if applicable
 
{{ListICD10Category | categoryName = Tracheostomy}}
{{ListICD10Category | categoryName = Tracheostomy}}
{{ListICD10Category | categoryName = Ostomy}}
{{ListICD10Category | categoryName = Ostomy}}

Latest revision as of 09:46, 22 October 2024

ICD10 Diagnosis
Dx: Tracheostomy, has one
ICD10 code: Z93.0
Pre-ICD10 counterpart: Tracheostomy
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • Z93.0
  • Cargo


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Additional Info


Includes

  • laryngectomy tube

Alternate ICD10s to consider coding instead or in addition

Tracheostomy codes:
Ostomy codes:

For other codes for having devices or similar, see

Has one codes:

Candidate Combined ICD10 codes

  • reason why has one

Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 trach dxs consistentCCMDB.accdbimplemented
Query check ICD10 trach has trach but no TISSCCMDB.accdbimplemented
Query NDC Trach Dx TISSCentralized data front end.accdbretired

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