Acquired Procedure: Difference between revisions

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== Collection Instructions ==

A procedure should be coded as [[Px Type]] '''acquired''' if it occurs after the ~~patient's care has been taken over by~~ the ~~admitting service (ie after [[Accept DtTm]]~~ and before the patient is discharged (ie before [[Dispo DtTm]]).

*A procedure should be coded as [[Px Type]] '''acquired''' if it occurs after the start of the database record and before the patient is discharged (ie before [[Dispo DtTm]]).

*Even if the procedure was '''planned''' before the service took over their care, but wasn't performed until after, then '''[[Px Type]]''' is ''acquired''.

Even if the procedure was '''planned''' before the service took over their care, but wasn't performed until after, then '''[[Px Type]]''' is ''acquired''.

*As of October 2020, a single record may span direct transfers between different locations and even between different services. Accordingly, an admit procedure only relates to the very start of that database record. Procedures that do not qualify as an admit procedure will be acquired.

**Example: Admitted to MICU for sepsis --> 2 days later develops an acute abdomen and goes to OR where gets a bowel resection --> goes to PACU --> goes to SICU service and SICU as location. Since the ADMISSION of this continuous episode of ICU care (i.e. MICU-->SICU) was to MICU, and we do not begin a new record with the switch to SICU, this bowel resection is an acquired procedure, not an admit procedure

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[[Category: CCI]]

[[Category:CCI]]

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 == Collection Instructions ==
-A procedure should be coded as [[Px Type]] '''acquired''' if it occurs after the patient's care has been taken over by the admitting service  (ie after [[Accept DtTm]] and before the patient is discharged (ie before [[Dispo DtTm]]).
+*A procedure should be coded as [[Px Type]] '''acquired''' if it occurs after the start of the database record and before the patient is discharged (ie before [[Dispo DtTm]]).
+*Even if the procedure was '''planned''' before the service took over their care, but wasn't performed until after, then '''[[Px Type]]''' is ''acquired''.
-Even if the procedure was '''planned''' before the service took over their care, but wasn't performed until after, then '''[[Px Type]]''' is ''acquired''.
+*As of October 2020, a single record may span direct transfers between different locations and even between different services. Accordingly, an admit procedure only relates to the very start of that database record. Procedures that do not qualify as an admit procedure will be acquired.
+**Example: Admitted to MICU for sepsis --> 2 days later develops an acute abdomen and goes to OR where gets a bowel resection --> goes to PACU --> goes to SICU service and SICU as location. Since the ADMISSION of this continuous episode of ICU care (i.e. MICU-->SICU) was to MICU, and we do not begin a new record with the switch to SICU, this bowel resection is an acquired procedure, not an admit procedure
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-[[Category: CCI]]
+[[Category:CCI]]