Significant complications: Difference between revisions

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Significant complications tracked on medicine units.--[[User:TOstryzniuk|TOstryzniuk]] 20:35, 24 November 2009 (CST)
  Legacy - this list was set up when CCMDB had LIMITED slot for complication codes. 6 expanded to 9.  We no longer have limited fields, therefore this list is no longer necessary.


*Complication/acquired DX code:
Content removed so it doesn't show in searches; see article history for details.


1.''' Central Line complication''' (requires transfusion or surgery)
**86000 - '''[[Central Line Related Blood stream Infection (CLR-BSI)]]'''  (see [[UPL]] for subcode 1-95 - not all subcodes apply and we have no rules to exclude any)
**98003  Pneumothorax – 2nd to central line insertion
**98102  Hemothorax – 2nd to central line insertion
**98201  Significant bleed - 2nd to central line - Femoral Artery/vein
**98203  Significant bleed - 2nd to central line - Pulmonary Artery
**98203  Significant bleed - 2nd to central line - subclavian arter/vein
**98205  Significant bleed - tamponade 2nd to central line


**98300  Stroke due to central line
[[Category:Legacy Data]]
**98500  Ischemia 2nd to central line (swan ganz, IJ, Subclavian)
**98900  Loss or broken guidewire with central line insertion
**99000  Arterial insertion of venous central line (malpositioning of PA or IJ into carotid artery or LV).
 
2. '''DVT''' '''[[Art/Ven Embolus/Thrombus]]''' -do you just want just lower extremity DVT or any other type?
**13200  (code by itself is mixed bag of Arterial or venous embolus or Thrombus)
**13201  Femoral (lower extremity)
**13202  Popiteal (lower extremity)
**13203  Subclavian (upper extremity/thorax-armpit, collar bone area)
**13204  Superior mesenteric (abdomin)
**13205  Post Operative (anywhere in body)
**13206  Internal Jugular (upper extremity/thorax –neck area)
**13208  Axillary (upper extremity/thorax-armpit - collar bone area)
**13209  Innominate (upper extremity/thorax -)
 
***13606 aortic – Excluded because this is generally a paradoxical embolization of DVT thrombus into the aorta. Our code is a mixed bag of arterial venous embolus or thrombus so don’t include for DVT.
 
3. '''[[Ulcers - Decubitus only]]'''
**94500  Decubitus ulcer only (used without subcode if stage unknown)
**94501  stage 1 surface reddening
**94502  just under skin
**94503  deep to muscle
**94504  full layer to bone
 
4. '''[[HAP-Hospital Acquired Pneumonia]]'''
**3800  ([[UPL]] subcodes 1-95 (exclude subcode 59, see below))
**3600  ([[UPL]] subcodes 1-95 (Pneumonia if not sure if hosp or community acquired, exclude subcode 59)) 
 
5. '''Aspiration Pneumonia''' '''[[Aspiration (early presentation, documented aspiration)]]'''
**3859  hospital acquired aspiration pneumonia
**3659  aspiration pneumonia not sure where acquired
{{Discussion}}
**Why are collectors using 3659 in acquired complication slot?  3659 is aspiration pneumonia (where it occurred is not known).  If it occurred after unit admission and is in the complication DX slots then it should be 3859 (Hospital acquired aspiration) should it not? --[[User:TOstryzniuk|TOstryzniuk]] 11:50, 25 November 2009 (CST)
***I agree that the pneumonia 3600-59 should only be used if you don't know on admission to your ward when the aspiration occured, after admission to your ward any pneumonia occuring would be HAP-aspiration.
 
6.'''[[Pulmonary Embolus]]'''
**1300 Pulmonary Embolus (used without subcode if reason is unknown)
**1301 Pulmonary Embolus- Septic
**1302 Thrombic
**1303 Post Operative
**1304 Air
**1305 Post Trauma-fat emboli – not included for medicine
**1390 other reason (same as using 1300 when reason is unknown)
 
7.''' Cardiac arrest'''
**10001 unwitnessed cardiac arres
**10002 witnessed cardiac arrest
 
8. '''CVA - Cerebral Vascular Accident'''
**50501 Post angiogram CVA
**50502 Post operative procedure
**50504 Post anticoagulation therapy
**50505 Intra-operative procedure CVA
**50506 Post Partum CVA
**50590 2nd to Other medical procedure
**98300 Stroke due to central line (also see Central line complications)
 
9. '''Nasogastric tube placement problems'''
**99101 Aspiration due to Malpositioning
 
10. '''Septic shock'''
**4400 (subcode 1-95)
 
11. '''Severe Sepsis'''
**4500 (subcodes 1-95)
 
12. '''Septecimia'''
**4600 (subcode 1-95)
 
13. '''Cystitis'''
**5100
 
14. '''Esophagitis 2nd to infection'''
**6400 (subcode 1-95)
 
15. '''Gastroenteritis'''
**6500 (subcode 1-95)
 
16. '''Neutropenic entercolitis'''
**6800 (subcode 1-95)
 
17. '''Pseudomembranous colitis - C-diff'''
**7212
 
18. '''post op surgical wound infection'''
**8300 (subcode 1-95)
 
19. '''soft tissue abcess'''
**8400 (subcode 1-95)
 
20. '''Soft tissue infection''' (includes cellulitis)
**8500 (subcode 1-95)
 
21. '''other ulcers'''
**94700
 
22. '''Tracheostomy (complications)'''
**77404 obstruction
**77405 malpositioning
**77406 bleeding (significant)
**77407 Fistula formation
**77408 site infection
**77490 any other complications
 
23. '''Pneumothorax (2nd to procedures)'''
**98001 2nd to pleural tap/thoracentesis
**98002 2nd to chest tube insertion
**98003 (see item #1 above - central line complication)
**98090 2nd to other procedures
 
24. '''Hemothorax (2nd to procedures)'''
**98101 2nd to pleural tap/thoracentesis
**98102 (see #1 above - central line complication)
**98103 2nd to chest tube insertion
**98190 2nd to other procedures
 
25. '''Main stem intubation'''
**98600
 
26. '''Aortic dissection post angioplasty'''
**98700
 
27. '''Liver laceration 2nd to chest tube insertion or other procedure'''
**98900
 
Dr.Dan Roberts had previously provided a list of “specific complications” that he wanted to track on medicine wards. --[[User:TOstryzniuk|TOstryzniuk]] 20:48, 23 November 2009 (CST)
 
[[Category: Diagnosis Coding]]

Latest revision as of 12:00, 30 July 2025

 Legacy - this list was set up when CCMDB had LIMITED slot for complication codes.  6 expanded to 9.  We no longer have limited fields, therefore this list is no longer necessary.

Content removed so it doesn't show in searches; see article history for details.

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