|
|
| (18 intermediate revisions by 3 users not shown) |
| Line 1: |
Line 1: |
| 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. |
| *NOTE: Dr.Dan Roberts had provided this list of “specific complications” that he wanted to track on medicine wards. These complications/acquired diagnosis are a most important to look for and code preferential to all other codes available for complication.----[[User:TOstryzniuk|TOstryzniuk]] 17:17, 3 November 2010 (CDT)
| |
|
| |
|
| *'''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 | 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
| |
| *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?
| | [[Category:Legacy Data]] |
| *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
| |
| * [[Pneumonia Etiology not clear | 3659]] Pneumonia Etiology not clear (not sure where acquired) (see discussion [[Pneumonia Etiology not clear | here]])
| |
| | |
| 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.''' [[:Category:Arrest | Cardiac Arrest]]'''
| |
| *10001 '''[[Unwitnessed Cardiac Arrest]]'''
| |
| *10002 '''[[Witnessed Cardiac Arrest]]'''
| |
| | |
| 8. '''[[:Category: Stroke | Stroke]]'''
| |
| *50501 [[CVA-Cerebral Vascular Accident | CVA Post angiogram]]
| |
| *50502 [[CVA-Cerebral Vascular Accident | CVA Post operative procedure]]
| |
| *50504 [[CVA-Cerebral Vascular Accident | CVA Post anticoagulation therapy]]
| |
| *50505 [[CVA-Cerebral Vascular Accident | CVA Intra-operative]]
| |
| *50506 [[CVA-Cerebral Vascular Accident | CVA Post Partum]]
| |
| *50590 [[CVA-Cerebral Vascular Accident | CVA 2nd to OTHER causes]] (original description in "other medical proedures)
| |
| *98300 CVA due to central line - No Article (also see Central line complications)
| |
| | |
| 9. '''[[NG tube placement problems]]'''
| |
| *99101 Aspiration due to Malpositioning
| |
| | |
| 10. '''[[Septic Shock]]'''
| |
| *4400 ([[UPL]] subcode 1-95)
| |
| | |
| 11. '''[[Severe Sepsis]]'''
| |
| *4500 ([[UPL]]subcodes 1-95)
| |
| | |
| 12. '''[[Septicemia/Bacteremia/Fungemia]]'''
| |
| *4600 ([[UPL]] subcode 1-95)
| |
| | |
| 13. '''[[Cystitis (Bladder Infection)]]'''
| |
| *5100
| |
| | |
| 14. '''[[Esophagitis]] 2nd to infection'''
| |
| *6400 ([[UPL]] subcode 1-95)
| |
| | |
| 15. '''[[Gastroenteritis]]'''
| |
| *6500 (subcode 1-95)
| |
| | |
| 16. '''[[Neutropenic Enterocolitis]]'''
| |
| *6800 ([[UPL]] subcode 1-95)
| |
| | |
| 17. '''[[Pseudomembranous Colitis (C-DIFF)]]'''
| |
| *7212
| |
| | |
| 18. '''[[Post OP Surg Wound Infection]]'''
| |
| *8300 ([[UPL]] subcode 1-95)
| |
| | |
| 19. '''[[Soft tissue abcess]]'''
| |
| *8400 ([[UPL]] subcode 1-95)
| |
| | |
| 20. '''[[Soft Tissue Infection (includes Cellulitis)]]'''
| |
| *8500 ([[UPL]] subcode 1-95)
| |
| | |
| 21. '''[[Ulcers - Lower Extremity & other]]'''
| |
| *94700
| |
| | |
| 22. '''[[Tracheostomy]] (complications)'''
| |
| *77404 obstruction
| |
| *77405 malpositioning
| |
| *77406 bleeding (significant)
| |
| *77407 Fistula formation
| |
| *77408 site infection
| |
| *77490 any other complications
| |
| | |
| 23. '''[[:Category: Pneumothorax | Pneumothorax]] (2nd to procedures)'''
| |
| *98001 [[Pneumothorax 2nd to pleural tap/thoracentesis | 2nd to pleural tap/thoracentesis]]
| |
| *98002 [[Pneumothorax 2nd to chest tube insertion | 2nd to chest tube insertion]]
| |
| *98003 (see item #1 above - central line complication)[[Pneumothorax 2nd to central line insertion | 2nd to central line insertion]]
| |
| *98090 [[Pneumothorax 2nd to other procedure | 2nd to other procedure]]
| |
| *1101 [[ Pneumothorax Iatrogenic | Iatrogenic]] (the preference is to use code 980 which is more specific)
| |
| | |
| 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
| |
| *1001 Iatrogenic (the preference is to use code 981 which is more specific)
| |
| | |
| 25. '''[[Mainstem intubation]]'''
| |
| *98600
| |
| | |
| 26. '''[[Aortic dissection post angioplasty]]'''
| |
| *98700
| |
| | |
| 27. '''[[Liver laceration post procedure]]''' (post chest tube or any other procedure)
| |
| *98800
| |
| | |
| | |
| | |
| [[Category: Significant Complications]]
| |
| [[Category: Diagnosis Coding]] | |
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.