Comorbid Diagnosis: Difference between revisions

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== Collection Instructions ==

=== [[~~Dx_Priority~~]] ===

==== When to code a [[Comorbid Diagnosis]] ====

'''~~You will need~~ to ~~enter priorities for comorbids~~'''. ~~For comorbids~~ the ~~priorities will only be used for grouping~~ [[~~Combined ICD10 codes~~]], not ~~for prioritizing them in any order of importance~~.

*'''Either''':

**Dx is '''chronic''' and was present and known '''prior''' to admission, even if it was only discovered during this admission

**Dx is in the past and is resolved and is included in one of the: [[:Category: Past medical history]] codes

**Dx is '''chronic''' and '''was not known prior to admission'''

***In this situation, code it as a [[Comorbid Diagnosis]] if it is a chronic, '''non-infectious''' condition -- e.g. a cancer, collagen-vascular disease (such as [[Systemic lupus erythematosis (SLE, lupus)]]), COPD, diabetes

***But do NOT code it as [[Comorbid Diagnosis]] if it is a chronic '''infectious''' condition -- such as [[Tuberculosis]] or [[AIDS (disease due to HIV)]] (which if first discovered/identified during the current admission ''would'' qualify as an [[Admit Diagnosis]]).

***Note that this rule does not impact on coding as a [[Comorbid Diagnosis]] an infection which is still present but WAS known pre-admission --- e.g. an osteomyelitis being treated at home with iv antibiotics.

~~{{ICD10 Guideline Como vs Admit}}~~

=== signs and symptoms should not be code as comorbidities ===

*Signs, symptoms and findings (e.g. chest pain or dyspnea, or abnormal LFTs) should NOT be coded as comorbidities. Only real specific diagnoses should.

=== Patient has no comorbidities ===

If a patient has no comorbidities, enter [[No Comorbidities (ICD10 code)]].

=== [[Dx_Priority]] ===

'''You will need to enter priorities for comorbids'''. For comorbids the priorities will only be used for grouping [[Combined ICD10 codes]], not for prioritizing them in any order of importance.

== Transfer of Comorbids on transfer between wards ==

~~{{DiscussTask|~~

See [[Patient copier button]] for more.

* Hi Tina is there any way that our comorbid diagnosis in the NEW ICD 10 collection can be transferred with the patient when they are discharged to another ward rather than readmitting and entering them ? (Shirley)

** This question has come up in the past and there are unresolved questions at [[Patient copier button]]. ~~All collectors, please contribute there... Ttenbergen 09:24, 2018 June 19 (CDT)~~}}

===Related articles ===

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[[Category: ICD10]]

[[Category:ICD10]]

[[Category: Comorbid]]

[[Category:Comorbid]]

[[Category: Diagnosis Coding | *]]

[[Category:Comorbid Diagnosis | *]]

[[Category: Comorbid Diagnosis | *]]

[[Category:ALERT Scale Elements]]

[[Category: ~~MOST Score~~ Elements]]

[[Category:Data Collection Guide]]

[[Category: Data Collection Guide]]

@@ Line 4: / Line 4: @@
 == Collection Instructions ==
-=== [[Dx_Priority]] ===
+==== When to code a [[Comorbid Diagnosis]] ====
-'''You will need to enter priorities for comorbids'''. For comorbids the priorities will only be used for grouping [[Combined ICD10 codes]], not for prioritizing them in any order of importance.
+*'''Either''':
+**Dx is '''chronic''' and was present and known '''prior''' to admission, even if it was only discovered during this admission
+**Dx is in the past and is resolved and is included in one of the: [[:Category: Past medical history]] codes
+**Dx is '''chronic''' and '''was not known prior to admission'''
+***In this situation, code it as a [[Comorbid Diagnosis]] if it is a chronic, '''non-infectious''' condition -- e.g. a cancer, collagen-vascular disease (such as [[Systemic lupus erythematosis (SLE, lupus)]]), COPD, diabetes
+***But do NOT code it as [[Comorbid Diagnosis]] if it is a chronic '''infectious''' condition -- such as [[Tuberculosis]] or [[AIDS (disease due to HIV)]] (which if first discovered/identified during the current admission ''would'' qualify as an [[Admit Diagnosis]]).
+***Note that this rule does not impact on coding as a [[Comorbid Diagnosis]] an infection which is still present but WAS known pre-admission --- e.g. an osteomyelitis being treated at home with iv antibiotics.
+{{ICD10 Guideline Como vs Admit}}
-{{ICD10 Guideline Como vs Admit}}
+=== signs and symptoms should not be code as comorbidities ===
+*Signs, symptoms and findings (e.g. chest pain or dyspnea, or abnormal LFTs) should NOT be coded as comorbidities.  Only real specific diagnoses should.
 === Patient has no comorbidities ===
 If a patient has no comorbidities, enter [[No Comorbidities (ICD10 code)]].
+=== [[Dx_Priority]] ===
+'''You will need to enter priorities for comorbids'''. For comorbids the priorities will only be used for grouping [[Combined ICD10 codes]], not for prioritizing them in any order of importance.
 == Transfer of Comorbids on transfer between wards ==
-{{DiscussTask|
+See [[Patient copier button]] for more.
-* Hi Tina is there any way that our comorbid diagnosis in the NEW ICD 10 collection can be transferred  with the patient when they are discharged to another ward rather than readmitting and entering them ? (Shirley)
-** This question has come up in the past and there are unresolved questions at [[Patient copier button]]. All collectors, please contribute there... Ttenbergen 09:24, 2018 June 19 (CDT)}}
+{{Data Integrity Check List}}
 ===Related articles ===
@@ Line 21: / Line 32: @@
-[[Category: ICD10]]
+[[Category:ICD10]]
-[[Category: Comorbid]]
+[[Category:Comorbid]]
-[[Category: Diagnosis Coding | *]]
+[[Category:Comorbid Diagnosis | *]]
-[[Category: Comorbid Diagnosis | *]]
+[[Category:ALERT Scale Elements]]
-[[Category: MOST Score Elements]]
+[[Category:Data Collection Guide]]
-[[Category: Data Collection Guide]]