Combined ICD10 codes: Difference between revisions

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To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient ~~viewer tab~~ ICD10]] need to be grouped together.

To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient Viewer Tab ICD10]] need to be grouped together.

To group diagnoses together, use the same [[Dx Priority]] for all of them.

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Drug-induced thrombocytopenia

~~{{Discuss | who = Allan | question = 1q~~

*What about when there's a diagnosis (A) which is a known risk factor for another diagnosis (B). But in fact B is influenced by other things, not only A. In this case, do NOT combine A and B.

*~~I have~~ a ~~lot of diabetes patients~~, ~~and their associated complications~~. ~~I know we are supposed to link the diabetes with their associated complications~~, ~~but just how far~~ do ~~we go? e~~.g. ~~We all know that diabetics~~ are ~~at higher risk of heart attack and stroke~~, and ~~we do indeed have a cardiovascular complication for diabetes~~. ~~If we have a diabetic that has had for example a stroke and a heart attack,~~ do ~~you want us to link~~ the ~~stroke and heart attack~~ with the ~~cardiovascular complications~~ (~~which is with~~ the diabetes ~~mellitus), or should we enter the stroke and heart attack as separate co-morbids~~. ~~In the case~~ of ~~diabetes in particular~~, ~~we would be assuming~~ that the ~~higher risk of cardiovascular events is caused by~~ the diabetes~~. These diabetics~~, ~~because of their higher risk of significant complications related to their diabetes could easily have 15 or more lines of complications/comorbids~~, ~~all related to~~ the ~~fact that they have~~ diabetes. ~~Should we be linking them all?~~ [[User:DPageNewton|DPageNewton]] 10:01, 2019 ~~August 26}}~~

**Example: Diabetes is a risk factor for MI. But so are hypertension, hyperlipidemia and genetic factors. So here do NOT combine the MI with the diabetes (or the hypertension or hyperlipidemia) because it's not a direct arrow from diabetes to MI. But of course, do code all of these diagnoses that are present (in the example that means code the diabetes and the MI, and hypertension if present, etc).

Thanks for clarifying the diabetes issue. [[User:DPageNewton|DPageNewton]] 12:21, 2019 October 10 (CDT)

=== Primary Admit Diagnosis in Combined Codes ===

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== CCMDB Data Integrity Checks ==

Some codes always need to be combined with one or more others~~. See [[Minimum combined codes]] for details~~.

Some codes always need to be combined with one or more others.

Most infection codes require combined-coding of a pathogen (some have it implied, like [[Mumps]]), and some disorders can have a pathogen if their cause is infectious. See [[Bug required]] for details.

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[[Category: ICD10]]

[[Category:ICD10]]

[[Category: ICD10/CCI Conversion]]

[[Category:ICD10/CCI Conversion]]

@@ Line 1: / Line 1: @@
-To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient viewer tab ICD10]] need to be grouped together.
+To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient Viewer Tab ICD10]] need to be grouped together.
 To group diagnoses together, use the same [[Dx Priority]] for all of them.
@@ Line 39: / Line 39: @@
      Drug-induced thrombocytopenia
-{{Discuss | who = Allan | question = 1q
+*What about when there's a diagnosis (A) which is a known risk factor for another diagnosis (B).  But in fact B is influenced by other things, not only A.  In this case, do NOT combine A and B.
-*I have a lot of diabetes patients, and their associated complications. I know we are supposed to link the diabetes with their associated complications, but just how far do we go? e.g. We all know that diabetics are at higher risk of heart attack and stroke, and we do indeed have a cardiovascular complication for diabetes. If we have a diabetic that has had for example a stroke and a heart attack, do you want us to link the stroke and heart attack with the cardiovascular complications (which is with the diabetes mellitus), or should we enter the stroke and heart attack as separate co-morbids. In the case of diabetes in particular, we would be assuming that the higher risk of cardiovascular events is caused by the diabetes. These diabetics, because of their higher risk of significant complications related to their diabetes could easily have 15 or more lines of complications/comorbids, all related to the fact that they have diabetes. Should we be linking them all?  [[User:DPageNewton|DPageNewton]] 10:01, 2019 August 26}}
+**Example:  Diabetes is a risk factor for MI.  But so are hypertension, hyperlipidemia and genetic factors.  So here do NOT combine the MI with the diabetes (or the hypertension or hyperlipidemia) because it's not a direct arrow from diabetes to MI.  But of course, do code all of these diagnoses that are present (in the example that means code the diabetes and the MI, and hypertension if present, etc).
+Thanks for clarifying the diabetes issue. [[User:DPageNewton|DPageNewton]] 12:21, 2019 October 10 (CDT)
 === Primary Admit Diagnosis in Combined Codes  ===
@@ Line 66: / Line 67: @@
 == CCMDB Data Integrity Checks ==
-Some codes always need to be combined with one or more others. See [[Minimum combined codes]] for details.
+Some codes always need to be combined with one or more others.
 Most infection codes require combined-coding of a pathogen (some have it implied, like [[Mumps]]), and some disorders can have a pathogen if their cause is infectious. See [[Bug required]] for details.
@@ Line 79: / Line 80: @@
 {{Related Articles}}
-[[Category: ICD10]]
+[[Category:ICD10]]
-[[Category: ICD10/CCI Conversion]]
+[[Category:ICD10/CCI Conversion]]