ICD10 collection: Difference between revisions

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This article provides general information about collecting and coding a [[ICD10 Diagnosis]].

They are entered in [[CCMDB.~~mdb~~]] in the [[L_ICD10 subform]] on the [[Patient ~~viewer tab~~ ICD10]].

They are entered in [[CCMDB.accdb]] in the [[L_ICD10 subform]] on the [[Patient Viewer Tab ICD10]].

~~There are some [[ICD10 Diagnoses and CCI Codes that need to be coded together]], and~~ [[ICD10 coding guidelines]] apply to some diagnoses.

[[ICD10 coding guidelines]] apply to some diagnoses.

== Collection Instructions ==

=== Timeline ===

*Start Date: 2019-01-01

*See Time Details [[Conversion from our old diagnosis schema_to_ICD10/CCI#Timeline]]

=== Determining which diagnosis to code===

To find an ICD10 Diagnosis to code, try the following:

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** '''related articles''' links

** '''categories'''

* if you can't find a code on our wiki for the term you are looking for, check one of the following:

**An excellent source is the website https://www.icd10data.com/ICD10CM/Codes

**Wikipedia has ICD-10 codes listed in the upper right hand corner and also in the infobox at the bottom of the page for most diagnoses

* '''When you find what you are looking for, make sure you add the search term that you could not find to the page on our wiki so the next person will find it by that name, and so we can code it consistently and the [[statistician]] can use it consistently.'''

=== Entering the diagnosis into [[CCMDB.~~mdb~~]] ===

=== Entering the diagnosis into [[CCMDB.accdb]] ===

ICD10 diagnoses are entered in the [[L_ICD10 subform]] on the [[Patient ~~viewer tab~~ ICD10]] in [[CCMDB.~~mdb~~]].

ICD10 diagnoses are entered in the [[L_ICD10 subform]] on the [[Patient Viewer Tab ICD10]] in [[CCMDB.accdb]].

Some diagnoses are coded as several lines of data as [[combined ICD10 codes]].

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# If not already there, in [[Patient Viewer]], click the '''ICD10 tab'''

# click the dropdown for [[Dx_Type|type]] and chose one of the following:

#* Admit - [[Admit Diagnosis]]

#* '''Admit''' - [[Admit Diagnosis]]

#** [[Dx_Primary|primary checkbox]] is the far left column. You must check ONE only as the [[Primary Admit Diagnosis]], primary being the most responsible reason for admission to your specific unit.

#*** If the Primary Admit Diagnosis is not a single ICD10 code but a case of [[combined ICD10 codes]], check ONE which is the main diagnosis in the group.

#** Date of occurrence, not ~~required~~

#*** Only ONE checked box must appear for each patient from the LOWEST priority number used.

#* Acquired - [[Acquired Diagnosis / Complication]]

#** Date of occurrence not allowed

#** Date of occurrence, required.

#* '''Acquired''' - [[Acquired Diagnosis / Complication]]

#* Comorbid - [[Comorbid Diagnosis]]

#** Date of occurrence '''required'''

#** Date of occurrence, not ~~required~~

#* '''Comorbid''' - [[Comorbid Diagnosis]]

#** Date of occurrence not allowed

# if you know the diagnosis name verbatim, you can click into the '''DX''' field and start typing; else, use the [[ICD10 Chooser form]]

# if you are entering an [[Acquired Diagnosis / Complication]], enter the [[Dx_Date]]

#* if the date is unavailable, check the [[Dx Date unknown]] checkbox.

#* you can use the *, +, - buttons to set the date

# enter a [[Dx_Priority~~]] to group together [[combined ICD10 codes~~]]

# enter a [[Dx_Priority]]

#* For Admit, assign a number in order of importance (the lowest being the worst).

#* For Acquired ~~and~~ Comorbid, just assign a number for each code with no order of importance.

#* For Acquired, just assign a number for each code with no order of importance.

#* For Comorbid, just assign a number for each code with no order of importance.

#* Use the same number to '''group together''' [[combined ICD10 codes]].

#* Use one number order set for each:

#** Admit Dx (1 to n)

#** Acquired Dx (restart at 1 to n)

#** Comorbid (restart at 1 to n)

=== "Suspected" Diagnoses ===

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***If you know that there is a tumor in an organ, but don't yet know whether or not it's malignant, then code the clinical manifestation (as above) AND '''[[Neoplasm of uncertain behavior (i.e. not clear if benign or malignant), NOS]]'''

*If the patient dies or otherwise leaves your unit before you figure out the true cause/diagnosis, then don't try to go beyond coding the manifestation(s).

~~=== Co-coding CCI procedures and ICD10 diagnoses ===~~

~~There are some [[ICD10 Diagnoses and CCI Codes that need to be coded together]].~~

<!-- would be every dx article, so commenting this out

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[[category: ICD10/CCI Conversion]]

[[Category: ICD10| *]]

[[Category:ICD10| *]]

@@ Line 1: / Line 1: @@
 This article provides general information about collecting and coding a [[ICD10 Diagnosis]].
-They are entered in [[CCMDB.mdb]] in the [[L_ICD10 subform]] on the [[Patient viewer tab ICD10]].<!-- yes, not ...CCI -->
+They are entered in [[CCMDB.accdb]] in the [[L_ICD10 subform]] on the [[Patient Viewer Tab ICD10]].<!-- yes, not ...CCI -->
-There are some [[ICD10 Diagnoses and CCI Codes that need to be coded together]], and [[ICD10 coding guidelines]] apply to some diagnoses.
+[[ICD10 coding guidelines]] apply to some diagnoses.
 == Collection Instructions ==
+=== Timeline ===
+*Start Date: 2019-01-01
+*See Time Details [[Conversion from our old diagnosis schema_to_ICD10/CCI#Timeline]]
 === Determining which diagnosis to code===
 To find an ICD10 Diagnosis to code, try the following:
@@ Line 14: / Line 18: @@
 ** '''related articles''' links
 ** '''categories'''
+* if you can't find a code on our wiki for the term you are looking for, check one of the following:
+**An excellent source is the website   https://www.icd10data.com/ICD10CM/Codes
+**Wikipedia has ICD-10 codes listed in the upper right hand corner and also in the infobox at the bottom of the page for most diagnoses
+* '''When you find what you are looking for, make sure you add the search term that you could not find to the page on our wiki so the next person will find it by that name, and so we can code it consistently and the [[statistician]] can use it consistently.'''
-=== Entering the diagnosis into [[CCMDB.mdb]] ===
+=== Entering the diagnosis into [[CCMDB.accdb]] ===
-ICD10 diagnoses are entered in the [[L_ICD10 subform]] on the [[Patient viewer tab ICD10]] in [[CCMDB.mdb]].
+ICD10 diagnoses are entered in the [[L_ICD10 subform]] on the [[Patient Viewer Tab ICD10]] in [[CCMDB.accdb]].
 Some diagnoses are coded as several lines of data as [[combined ICD10 codes]].
@@ Line 23: / Line 31: @@
 # If not already there, in [[Patient Viewer]], click the '''ICD10 tab'''
 # click the dropdown for [[Dx_Type|type]] and chose one of the following:
-#* Admit - [[Admit Diagnosis]]
+#* '''Admit''' - [[Admit Diagnosis]]
 #** [[Dx_Primary|primary checkbox]] is the far left column.  You must check ONE only as the [[Primary Admit Diagnosis]], primary being the most responsible reason for admission to your specific unit.
 #*** If the Primary Admit Diagnosis  is not a single ICD10 code  but a case of [[combined ICD10 codes]], check ONE which is the main diagnosis in the group.
-#** Date of occurrence, not required
+#*** Only ONE checked box must appear for each patient from the LOWEST priority number used.
-#* Acquired - [[Acquired Diagnosis / Complication]]
+#** Date of occurrence not allowed
-#** Date of occurrence, required.
+#* '''Acquired''' - [[Acquired Diagnosis / Complication]]
-#* Comorbid - [[Comorbid Diagnosis]]
+#** Date of occurrence '''required'''
-#** Date of occurrence, not required
+#* '''Comorbid''' - [[Comorbid Diagnosis]]
+#** Date of occurrence not allowed
 # if you know the diagnosis name verbatim, you can click into the '''DX''' field and start typing; else, use the [[ICD10 Chooser form]]
 # if you are entering an [[Acquired Diagnosis / Complication]], enter the [[Dx_Date]]
 #* if the date is unavailable, check the [[Dx Date unknown]] checkbox.
 #* you can use the *, +, - buttons to set the date
-# enter a [[Dx_Priority]] to group together  [[combined ICD10 codes]]
+# enter a [[Dx_Priority]]
 #* For Admit,  assign a number in order of importance (the lowest being the worst).
-#* For Acquired and Comorbid, just assign a number for each code with no order of importance.
+#* For Acquired, just assign a number for each code with no order of importance.
+#* For Comorbid, just assign a number for each code with no order of importance.
+#* Use the same number to '''group together''' [[combined ICD10 codes]].
+#* Use one number order set for each:
+#** Admit Dx (1 to n)
+#** Acquired Dx (restart at 1 to n)
+#** Comorbid (restart at 1 to n)
 === "Suspected" Diagnoses ===
@@ Line 46: / Line 61: @@
 ***If you know that there is a tumor in an organ, but don't yet know whether or not it's malignant, then code the clinical manifestation (as above) AND '''[[Neoplasm of uncertain behavior (i.e. not clear if benign or malignant), NOS]]'''
 *If the patient dies or otherwise leaves your unit before you figure out the true cause/diagnosis, then don't try to go beyond coding the manifestation(s).
-=== Co-coding CCI procedures and ICD10 diagnoses ===
-There are some [[ICD10 Diagnoses and CCI Codes that need to be coded together]].
 <!-- would be every dx article, so commenting this out
@@ Line 56: / Line 68: @@
 [[category: ICD10/CCI Conversion]]
-[[Category: ICD10| *]]
+[[Category:ICD10| *]]