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| Legacy - this list was set up when CCMDB had LIMITED slot for complication codes. 6 expanded to 9. We not longer have limited fields, therefore this list is not necessary. | | 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. |
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| These complications/acquired diagnosis are the most important to look for and code preferential to all other codes available for complication.
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| *'''Complication/acquired DX code''':
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| 1.''' Central Line complication''' (requires transfusion or surgery)
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| *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)
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| *98003 [[Pneumothorax (iatrogenic)]] - Central Line (SG, IJ, Cordis, Subcl)
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| *98102 Hemothorax – 2nd to central line insertion
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| *98201 Significant bleed - 2nd to central line - Femoral Artery/vein
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| *98203 Significant bleed - 2nd to central line - Pulmonary Artery
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| *98203 Significant bleed - 2nd to central line - subclavian arter/vein
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| *98205 Significant bleed - tamponade 2nd to central line
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| *98300 Stroke due to central line
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| *98500 Ischemia 2nd to central line (swan ganz, IJ, Subclavian)
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| *98900 Loss or broken guidewire with central line insertion
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| *99000 Arterial insertion of venous central line (malpositioning of PA or IJ into carotid artery or LV).
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| 2. '''DVT''' '''[[Art/Ven Embolus/Thrombus]]''' -do you just want just lower extremity DVT or any other type?
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| *13200 (code by itself is mixed bag of Arterial or venous embolus or Thrombus)
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| *13201 Femoral (lower extremity)
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| *13202 Popiteal (lower extremity)
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| *13203 Subclavian (upper extremity/thorax-armpit, collar bone area)
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| *13204 Superior mesenteric (abdomin)
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| *13205 Post Operative (anywhere in body)
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| *13206 Internal Jugular (upper extremity/thorax –neck area)
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| *13208 Axillary (upper extremity/thorax-armpit - collar bone area)
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| *13209 Innominate (upper extremity/thorax -)
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| **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.
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| 3. '''[[Ulcers - Decubitus only]]'''
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| *94500 Decubitus ulcer only (used without subcode if stage unknown)
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| *94501 stage 1 surface reddening
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| *94502 just under skin
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| *94503 deep to muscle
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| *94504 full layer to bone
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| 4. '''[[HAP-Hospital Acquired Pneumonia]]'''
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| *3800 ([[UPL]] subcodes 1-95 (exclude subcode 59, see below))
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| *3600 ([[UPL]] subcodes 1-95 (Pneumonia if not sure if hosp or community acquired, exclude subcode 59))
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| 5. '''Aspiration Pneumonia''' '''[[Aspiration (early presentation, documented aspiration)]]'''
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| *3859 hospital acquired aspiration pneumonia
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| * [[Pneumonia Etiology not clear | 3659]] Pneumonia Etiology not clear (not sure where acquired) (see discussion [[Pneumonia Etiology not clear | here]])
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| 6.'''[[Pulmonary Embolus]]'''
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| *1300 Pulmonary Embolus (used without subcode if reason is unknown)
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| *1301 Pulmonary Embolus- Septic
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| *1302 Thrombic
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| *1303 Post Operative
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| *1304 Air
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| *1305 Post Trauma-fat emboli – not included for medicine
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| *1390 other reason (same as using 1300 when reason is unknown)
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| 7.''' [[:Category:Arrest | Cardiac Arrest]]'''
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| *10001 '''[[Unwitnessed Cardiac Arrest]]'''
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| *10002 '''[[Witnessed Cardiac Arrest]]'''
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| 8. '''[[:Category: Stroke | Stroke]]'''
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| *50501 [[CVA-Cerebral Vascular Accident | CVA Post angiogram]]
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| *50502 [[CVA-Cerebral Vascular Accident | CVA Post operative procedure]]
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| *50504 [[CVA-Cerebral Vascular Accident | CVA Post anticoagulation therapy]]
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| *50505 [[CVA-Cerebral Vascular Accident | CVA Intra-operative]]
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| *50506 [[CVA-Cerebral Vascular Accident | CVA Post Partum]]
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| *50590 [[CVA-Cerebral Vascular Accident | CVA 2nd to OTHER causes]] (original description in "other medical proedures)
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| *98300 CVA due to central line - No Article (also see Central line complications)
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| 9. '''[[NG tube placement problems]]'''
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| *99101 Aspiration due to Malpositioning
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| 10. '''[[Septic Shock]]'''
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| *4400 ([[UPL]] subcode 1-95)
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| 11. '''[[Severe Sepsis]]'''
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| *4500 ([[UPL]]subcodes 1-95)
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| 12. '''[[Septicemia/Bacteremia/Fungemia]]'''
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| *4600 ([[UPL]] subcode 1-95)
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| 13. '''[[Cystitis (Bladder Infection)]]'''
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| *5100
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| 14. '''[[Esophagitis]] 2nd to infection'''
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| *6400 ([[UPL]] subcode 1-95)
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| 15. '''[[Gastroenteritis]]'''
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| *6500 (subcode 1-95)
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| 16. '''[[Neutropenic Enterocolitis]]'''
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| *6800 ([[UPL]] subcode 1-95)
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| 17. '''[[Pseudomembranous Colitis (C-DIFF)]]'''
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| *7212
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| 18. '''[[Post OP Surg Wound Infection]]'''
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| *8300 ([[UPL]] subcode 1-95)
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| 19. '''[[Soft Tissue Abscess]]'''
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| *8400 ([[UPL]] subcode 1-95)
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| 20. '''[[Soft Tissue Infection (includes Cellulitis)]]'''
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| *8500 ([[UPL]] subcode 1-95)
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| 21. '''[[Ulcers - Lower Extremity & other]]'''
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| *94700
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| 22. '''[[Tracheostomy]] (complications)'''
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| *77404 obstruction
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| *77405 malpositioning
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| *77406 bleeding (significant)
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| *77407 Fistula formation
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| *77408 site infection
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| *77490 any other complications
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| 23. any [[Pneumothorax (iatrogenic)]] or old code 1101
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| 24. '''[[Hemothorax]] (2nd to procedures)'''
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| *98101 2nd to pleural tap/thoracentesis
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| *98102 (see #1 above - central line complication)
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| *98103 2nd to chest tube insertion
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| *98190 2nd to other procedures
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| *1001 Iatrogenic (the preference is to use code 981 which is more specific)
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| 25. '''[[Mainstem intubation]]'''
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| *98600
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| 26. '''[[Aortic dissection post angioplasty]]'''
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| *98700
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| 27. '''[[Liver laceration post procedure]]''' (post chest tube or any other procedure)
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| *98800
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| 28. '''[[Cardiogenic Shock]]'''
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| *10100
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| 29. '''[[Myocardial infarction]]
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| *10200
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| 30. '''[[Congestive Heart Failure]]
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| *10300
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| 31. '''[[Upper GI Bleed]]'''
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| *40100
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| 32. '''[[Lower GI Bleed]]'''
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| *40200
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| == ICD10 ==
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| These will need to be reviewed for ICD10. {{ICD10}}
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| Or interlinking with other articles.
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| These should turn into a column in [[s_ICD10 table]] so collectors can filter by.
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| === requires review ===
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| * This list should be reviewed by Critical Care Directors to verify if this is what ICU would like to continue with. Allan will bring to Steering. See also [[Conversion from our old diagnosis schema to ICD10/CCI]].
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| == Legacy ==
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| === used to be two lists ===
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| *The following used to be only ICU: 28-32
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| *The following used to be only medicine: 13-17
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| === when those lists were built ===
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| November, 2009 Dr.Dan Roberts had provided this list of “specific complications” that he wanted to track on medicine wards and in ICUs.
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| *this was done because coding slots very restricted to 6-9. They have been unlimted for long time.
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| [[Category: Legacy Data]] | |
| [[Category: Significant Complications]]
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| [[Category: Diagnosis Coding]]
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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.