Template:ICD10 Guideline Como vs Admit: Difference between revisions

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*Dx was present in the past but that problem is '''resolved''' AND does not fit into one of the [[:Category: Past medical history]] codes

**To be clear on this -- do NOT code past problems that are fully resolved unless they are one of the [[:Category: Past medical history]] codes

* Do not code diagnoses that occur during this admission as a comorbid diagnoses. If they have completely resolved then do not code as a comorbid diagnosis until the next admission if applicable. ie. surgical ward had a COVID pneumonia resolved prior to ICU admission. Do not code [[Past history of Covid-19 infection]] until the next hospital admission.

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{{Ex |

* ex1: Patient who has been, and still is, being treated for active pulmonary TB as an outpatient, and is admitted for an acute MI. Here since on the current admission the TB is still being actively treated, it qualifies as an [[Admit Diagnosis]], as above. But because it has been present from long before this admission, it also qualifies as an "active" [[Comorbid Diagnosis]].

* ex2: Patient has a past history of CHF and thus it should be coded as a [[Comorbid Diagnosis]]. And if the CHF is worse at admission and it is part of the reason for admission, then CHF should also be an [[Admit Diagnosis]] ~~too~~.

* ex2: Patient has a past history of CHF and thus it should be coded as a [[Comorbid Diagnosis]]. And if the CHF is worse at admission and it is part of the reason for admission, then CHF should also be an [[Admit Diagnosis]].

}}

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{{Ex |

* Ex1: Recurrent pneumonia -- in between the infections, there IS NO pneumonia}}

** '''Do code''' conditions that by nature have intermittent rather than continuous symptoms, but where the underlying condition doesn't go away.

* '''Do code''' conditions that by nature have intermittent rather than continuous symptoms, but where the underlying condition doesn't go away.

* Ex2: [[Asthma, without acute exacerbation]] -- this '''is'' a chronic disease whose nature is intermittent symptoms, but in between those symptoms the person still has asthma.}}

{{Ex |* Ex2: [[Asthma, without acute exacerbation]] -- this '''is'' a chronic disease whose nature is intermittent symptoms, but in between those symptoms the person still has asthma.}}

==== Past medical history ====

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| always= see how this used to be coded...

| full=

**As of June 25, 2020, the rules were revised for coding as [[Comorbid Diagnoses]] those diagnosed during the current hospitalization (either at admission or thereafter) but which virtually certainly were present pre-admission.

*As of June 25, 2020, the rules were revised for coding as [[Comorbid Diagnoses]] those diagnosed during the current hospitalization (either at admission or thereafter) but which virtually certainly were present pre-admission.

}}

@@ Line 14: / Line 14: @@
 *Dx was present in the past but that problem is '''resolved''' AND does not fit into one of the [[:Category: Past medical history]] codes
 **To be clear on this -- do NOT code past problems that are fully resolved unless they are one of the [[:Category: Past medical history]] codes
+* Do not code diagnoses that occur during this admission as a comorbid diagnoses.  If they have completely resolved then do not code as a comorbid diagnosis until the next admission if applicable.  ie. surgical ward had a COVID pneumonia resolved prior to ICU admission.  Do not code [[Past history of Covid-19 infection]] until the next hospital admission.
 {{ICD10 Guideline Stroke resolved exception}}
@@ Line 27: / Line 28: @@
 {{Ex |
 * ex1: Patient who has been, and still is, being treated for active pulmonary TB as an outpatient, and is admitted for an acute MI.  Here since on the current admission the TB is still being actively treated, it qualifies as an [[Admit Diagnosis]], as above.  But because it has been present from long before this admission, it also qualifies as an "active" [[Comorbid Diagnosis]].
-* ex2: Patient has a past history of CHF and thus it should be coded as a [[Comorbid Diagnosis]].  And if the CHF is worse at admission and it is part of the reason for admission, then CHF should also be an [[Admit Diagnosis]] too.
+* ex2: Patient has a past history of CHF and thus it should be coded as a [[Comorbid Diagnosis]].  And if the CHF is worse at admission and it is part of the reason for admission, then CHF should also be an [[Admit Diagnosis]].
 }}
@@ Line 34: / Line 35: @@
 {{Ex |
 * Ex1: Recurrent pneumonia -- in between the infections, there IS NO pneumonia}}
-** '''Do code''' conditions that by nature have intermittent rather than continuous symptoms, but where the underlying condition doesn't go away.
+* '''Do code''' conditions that by nature have intermittent rather than continuous symptoms, but where the underlying condition doesn't go away.
-* Ex2: [[Asthma, without acute exacerbation]] -- this '''is'' a chronic disease whose nature is intermittent symptoms, but in between those symptoms the person still has asthma.}}
+{{Ex |* Ex2: [[Asthma, without acute exacerbation]] -- this '''is'' a chronic disease whose nature is intermittent symptoms, but in between those symptoms the person still has asthma.}}
 ==== Past medical history ====
@@ Line 48: / Line 49: @@
 | always= see how this used to be coded...
 | full=
-**As of June 25, 2020, the rules were revised for coding as [[Comorbid Diagnoses]] those diagnosed during the current hospitalization (either at admission or thereafter) but which virtually certainly were present pre-admission.
+*As of June 25, 2020, the rules were revised for coding as [[Comorbid Diagnoses]] those diagnosed during the current hospitalization (either at admission or thereafter) but which virtually certainly were present pre-admission.
 }}