Organ donor (organ/tissue donation by the donor): Difference between revisions

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== Additional Info ==

*~~Organ donors can~~ be ~~dead~~ or ~~alive~~.

*''' This code is ''NOT'' intended for the RECIPIENT of the transplant, use [[CCI Component]] 2 code [[Transplant]] with the appropriate organ for that.

**Use it as the primary admit diagnosis for a person admitted for the purpose of having an organ removed for transplant into somebody else. See '''[[Guideline for coding living donor organ donation]]'''

**Use it as an diagnosis in the situation where the donor comes in electively to a ward, then goes to OR and has organ harvested, and THEN comes back to the same location (in which case it'll now be an acquired dx) or a different location (in which case it'll be an admit dx).

*For dead organ donors (including DCD), see '''[[Guideline for coding organ donation after death]]'''

*We only want to code this for major organ donations, i.e. not cornea, skin or bones.

*This code is for the donor, not recepients of transplanted organs.

~~=== Deceased organ donors ===~~

*Donation after death can be either:

**After brain death: '''[[Brain death]]'''

**Donation after Medical Assistance in Dying ([[MAID]]) -- where a person who undergoes MAID has made arrangements in advance for organ harvesting after death.

**Donation after cardiac death (DCD) -- where a donor who is not brain dead is dependent on life support and the family has decided to withdraw care. When the patient's heart stops beating, the organs are then recovered in the operating room.

Some organ donors have a '''bronchscopy''' done, but not all do, so don't automatically assume and code it. The only time it is done is if there are considering the lungs. This is according to a Respirologist from STB ICU.

== Alternate ICD10s to consider coding instead or in addition ==

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== Related CCI Codes ==

~~If a braindead person goes to OR to harvest organs, then that procedures, just code this code, even though the code happens after they leave the unit. They do need to be coded for live donors.~~

* [[Procure, Harvest, Obtain for Further Use]]

~~{{Discuss | who = Tina | question = * finish review }}~~

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

* Do we want to differentiate between living and cadaver donor renal transplants like we did with the old system?

*AG REPLY --- no we will not be differentiating between an organ donor whose organ was obtained before death vs. after death}}

== Related CCI Codes ==

@@ Line 12: / Line 12: @@
 == Additional Info ==
-*Organ donors can be dead or alive.
+*''' This code  is ''NOT'' intended for the RECIPIENT of the transplant, use [[CCI Component]] 2 code [[Transplant]] with the appropriate organ for that.
+**Use it as the primary admit diagnosis for a person admitted for the purpose of having an organ removed for transplant into somebody else. See '''[[Guideline for coding living donor organ donation]]'''
+**Use it as an diagnosis in the situation where the donor comes in electively to a ward, then goes to OR and has organ harvested, and THEN comes back to the same location (in which case it'll now be an acquired dx) or a different location (in which case it'll be an admit dx).
+*For dead organ donors (including DCD), see '''[[Guideline for coding organ donation after death]]'''
 *We only want to code this for major organ donations, i.e. not cornea, skin or bones.
-*This code is for the donor, not recepients of transplanted organs.
-=== Deceased organ donors ===
-*Donation after death can be either:
-**After brain death:  '''[[Brain death]]'''
-**Donation after Medical Assistance in Dying ([[MAID]]) -- where a person who undergoes MAID has made arrangements in advance for organ harvesting after death.
-**Donation after cardiac death (DCD) -- where a donor who is not brain dead is dependent on life support and the family has decided to withdraw care. When the patient's heart stops beating, the organs are then recovered in the operating room.
-Some organ donors have a '''bronchscopy''' done, but not all do, so don't automatically assume and code it. The only time it is done is if there are considering the lungs.  This is according to a Respirologist from STB ICU.
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 32: / Line 27: @@
 == Related CCI Codes ==
-If a braindead person goes to OR to harvest organs, then that procedures, just code this code, even though the code happens after they leave the unit. They do need to be coded for live donors.
-* [[Procure, Harvest, Obtain for Further Use]]
-{{Discuss | who = Tina | question = *  finish review }}
-{{Discuss | who = Allan | question =
-* Do we want to differentiate between living and cadaver donor renal transplants like we did with the old system?
-*AG REPLY --- no we will not be differentiating between an organ donor whose organ was obtained before death vs. after death}}
 == Related CCI Codes ==