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

(8 intermediate revisions by 2 users not shown)

Line 12:

== Additional Info ==

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

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

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

**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.

*For a live donor (e.g. man giving a kidney to his sister) this can be (and virtually always WILL be) an admit diagnosis.

*For a braindead donor, or a DCD (donation after cardiac death = almost dead in ICU but decision made to donate by taking patient or OR, removing life support until dead, then harvest organs) it almost always will be an acquired diagnosis. For those the date of that acquired diagnosis should be.... we still need to decide, see: [[Deceased patients]].

~~{{DA |~~

* What date in the [[Acquired Diagnosis]] do you put for this code? Do you use the date that they decide the pt will be an organ donor? Or would you prefer the date the patient goes to the OR (which would be the same as the discharge date?

** These patients go to a different ward after transplant, right? So we would likely not currently track the CCI for this. Maybe transplants are something we should track if they are at the end of stay. I'll flag this for Allan.

***I am referring to an organ donor (not a transplant recipient). Most donors go to the morgue after donating their organs in the OR. I am not asking about CCI, just the date for the acquire ICD10 code. I am not sure who wrote the above comment.}}

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

~~See [[Guideline for coding organ donation after death]]; there is no separate code for cadaver donations.~~

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

Line 34:

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]]

== Related CCI Codes ==

@@ Line 12: / Line 12: @@
 == Additional Info ==
-''' This code  is ''NOT'' intended for the RECIPIENT of the transplant, use [[CCI Component]] 2 code [[Transplant]] with the appropriate organ for that.
+*''' This code  is ''NOT'' intended for the RECIPIENT of the transplant, use [[CCI Component]] 2 code [[Transplant]] with the appropriate organ for that.
-*Organ donors can be dead or alive.
+**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.
-*For a live donor (e.g. man giving a kidney to his sister) this can be (and virtually always WILL be) an admit diagnosis.
-*For a braindead donor, or a DCD (donation after cardiac death = almost dead in ICU but decision made to donate by taking patient or OR, removing life support until dead, then harvest organs) it almost always will be an acquired diagnosis.  For those the date of that acquired diagnosis should be.... we still need to decide, see: [[Deceased patients]].
-{{DA |
-* What date in the [[Acquired Diagnosis]] do you put for this code?   Do you use the date that they decide the pt will be an organ donor?  Or would you prefer the date the patient goes to the OR (which would be the same as the discharge date?
-** These patients go to a different ward after transplant, right? So we would likely not currently track the CCI for this. Maybe transplants are something we should track if they are at the end of stay. I'll flag this for Allan.
-***I am referring to an organ donor (not a transplant recipient). Most donors go to the morgue after donating their organs in the OR.  I am not asking about CCI, just the date for the acquire ICD10 code.  I am not sure who wrote the above comment.}}
-=== Deceased organ donors ===
-See [[Guideline for coding organ donation after death]]; there is no separate code for cadaver donations.
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 34: / 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]]
 == Related CCI Codes ==