Kidney Transplant Coding Guidelines: Difference between revisions

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* This Code will be linked with [[Organ transplant candidate (waiting for organ)]]

====CCI coding====

*'''Transplant is an exception to the normal CCI coding rules.''' If a patient arrives on your ward, as long as they had their transplant on this hospital admission (even if it was days or weeks ago), if they are still in hospital due to issues arising from the transplant, then you will code the transplant as an ~~admit CCI~~. This allows you to code the ARF codes without getting an error.

*'''[[Transplant]] is an exception to the normal CCI coding rules.''' If a patient arrives on your ward, as long as they had their transplant on this hospital admission (even if it was days or weeks ago), if they are still in hospital due to issues arising from the transplant, then you will code the transplant as an [[Admit Procedure]] . This allows you to code the ARF codes without getting an error.

*Often, admitted patients will receive a peritoneal or hemodialysis treatment prior to surgery. In this case, code this as an ~~acquired CCI~~. If the patient requires a hemodialysis treatment post transplant as well, this will not be captured in the CCI, as we only code the first dialysis treatment during the hospitalization.

*Often, admitted patients will receive a peritoneal dialysis ([[Peritoneal dialysis (TISS Item)|Peritoneal dialysis]]) or hemodialysis ([[Intermittent hemodialysis (TISS Item)]] treatment prior to surgery. In this case, code this as an [[Acquired Procedure]]. If the patient requires a hemodialysis treatment post transplant as well, this will not be captured in the CCI, as we only code the first dialysis treatment during the hospitalization.

*To code the actual transplant (usually will be as an ~~acquired~~, unless they are coming to your ward post-op), use ~~"Kidney~~ (T)~~", combined with "~~Transplant". As part of the procedure, patients will also have a ~~ureteral~~ stent placed. This is routine, and does not need to be coded as a CCI. If a ~~biopsy~~ of the kidney is done during the procedure, code this as ~~"kidney~~ (D)", combined with "Biopsy (non-endoscopic)". If a biopsy is done, it will usually be indicated in the OR's print out summary.

*To code the actual transplant (usually will be as an [[Acquired Procedure]], unless they are coming to your ward post-op), use [[(T) Kidney]] - [[Transplant]]. As part of the procedure, patients will also have a ureteric stent placed. This is routine, and does not need to be coded as a CCI. If a [[Biopsy (non-endoscopic)|Biopsy]] of the kidney is done during the procedure, code this as [[(D) Kidney]], combined with [[Biopsy (non-endoscopic)|Biopsy]]. If a biopsy is done, it will usually be indicated in the OR's print out summary.

==== Should [[Past history, transplanted kidney]] be coded during transplant admission ====

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 * This Code will be linked with [[Organ transplant candidate (waiting for organ)]]
 ====CCI coding====
-*'''Transplant is an exception to the normal CCI coding rules.''' If a patient arrives on your ward, as long as they had their transplant on this hospital admission (even if it was days or weeks ago), if they are still in hospital due to issues arising from the transplant, then you will code the transplant as an admit CCI. This allows you to code the ARF codes without getting an error.
+*'''[[Transplant]] is an exception to the normal CCI coding rules.''' If a patient arrives on your ward, as long as they had their transplant on this hospital admission (even if it was days or weeks ago), if they are still in hospital due to issues arising from the transplant, then you will code the transplant as an [[Admit Procedure]] . This allows you to code the ARF codes without getting an error.
-*Often, admitted patients will receive a peritoneal or hemodialysis treatment prior to surgery. In this case, code this as an acquired CCI. If the patient requires a hemodialysis treatment post transplant as well, this will not be captured in the CCI, as we only code the first dialysis treatment during the hospitalization.
+*Often, admitted patients will receive a peritoneal dialysis ([[Peritoneal dialysis (TISS Item)|Peritoneal dialysis]]) or hemodialysis ([[Intermittent hemodialysis (TISS Item)]] treatment prior to surgery. In this case, code this as an [[Acquired Procedure]]. If the patient requires a hemodialysis treatment post transplant as well, this will not be captured in the CCI, as we only code the first dialysis treatment during the hospitalization.
-*To code the actual transplant (usually will be as an acquired, unless they are coming to your ward post-op), use "Kidney (T)", combined with "Transplant". As part of the procedure, patients will also have a ureteral stent placed. This is routine, and does not need to be coded as a CCI. If a biopsy of the kidney is done during the procedure, code this as "kidney (D)", combined with "Biopsy (non-endoscopic)". If a biopsy is done, it will usually be indicated in the OR's print out summary.
+*To code the actual transplant (usually will be as an [[Acquired Procedure]], unless they are coming to your ward post-op), use [[(T) Kidney]] - [[Transplant]]. As part of the procedure, patients will also have a ureteric stent placed. This is routine, and does not need to be coded as a CCI. If a [[Biopsy (non-endoscopic)|Biopsy]] of the kidney is done during the procedure, code this as [[(D) Kidney]], combined with [[Biopsy (non-endoscopic)|Biopsy]]. If a biopsy is done, it will usually be indicated in the OR's print out summary.
 ==== Should [[Past history, transplanted kidney]] be coded during transplant admission ====