Significant complications: Difference between revisions

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Significant complications tracked on medicine units.--[[User:TOstryzniuk|TOstryzniuk]] 20:35, 24 November 2009 (CST)
  Legacy - this list was set up when CCMDB had LIMITED slot for complication codes. 6 expanded to 9.  We no longer have limited fields, therefore this list is no longer necessary.


*Complication/acquired DX code:
Content removed so it doesn't show in searches; see article history for details.


1.''' Central Line complication'''  (requires transfusion or surgery)
**86000 - Central Line related infections  (subcode 1-95 - not all subcodes apply and we have no rules to exclude any)
**98003 – Pneumothorax – 2nd to central line insertion
**98102 – Hemothorax – 2nd to central line insertion
**98201 - Significant bleed - 2nd to central line - Femoral Artery/vein
**98203 - Significant bleed - 2nd to central line - Pulmonary Artery
**98203 - Significant bleed - 2nd to central line - subclavian arter/vein
**98205 – Significant bleed - tamponade 2nd to central line


**98300 Stroke due to central line
[[Category:Legacy Data]]
**98500 Ischemia 2nd to central line (swan ganz, IJ, Subclavian)
**98900 Loss or broken guidewire with central line insertion
**99000 Arterial insertion of venous central line (malpositioning of PA or IJ into carotid artery or LV).
 
2. '''DVT'''  -do you just want just lower extremity DVT or any other type?
**13200 (code by itself is mixed bag of Arterial or venous embolus or Thrombus)
**13201 Femoral (lower extremity)
**13202 Popiteal (lower extremity)
**13203 Subclavian (upper extremity/thorax-armpit, collar bone area)
**13204 Superior mesenteric (abdomin)
**13205 Post Operative (anywhere in body)
**13206 Internal Jugular (upper extremity/thorax –neck area)
**13208 Axillary (upper extremity/thorax-armpit - collar bone area)
**13209 Innominate (upper extremity/thorax -)
 
***13606 aortic – Excluded because this is generally a paradoxical embolization of DVT thrombus into the aorta. Our code is a mixed bag of arterial venous embolus or thrombus so don’t include for DVT.
 
3. '''Hospital Acquired Decubitus Ulcer'''
**94500 Decubitus Ulcers only (used without subcode if stage unknown)
**94501 – stage 1 surface reddening
**94502 – just under skin
**94503 – deep to muscle
**94504 –full layer to bone
 
4. '''Hospital Acquired Pneumonia'''
**3800 – subcodes 1-95 (exclude subcode 59, see below)
**3600 – subcode 1-95 (Pneumonia if not sure if hosp or community acquired, exclude subcode 59). 
 
5. '''Aspiration Pneumonia'''
**3859  - hospital acquired aspiration pneumonia
 
6.''' Pulmonary Embolus'''
**1300 Pulmonary Embolus (used without subcode if reason is unknown)
**1301 Pulmonary Embolus- Septic
**1302 Thrombic
**1303 Post Operative
**1304 Air
**1305 Post Trauma-fat emboli – not included for medicine
**1390 other reason (same as using 1300 when reason is unknown)
 
7.''' Cardiac arrest'''
**10001 unwitnessed cardiac arres
**10002 witnessed cardiac arrest
 
8. '''CVA - Cerebral Vascular Accident'''
**50501 Post angiogram CVA
**50502 Post operative procedure
**50504 Post anticoagulation therapy
**50505 Intra-operative procedure CVA
**50506 Post Partum CVA
**50590 2nd to Other medical procedure
**98300 Stroke due to central line (also see Central line complications)
 
9. '''Nasogastric tube placement problems'''
**99101 Aspiration due to Malpositioning
 
10. '''Septic shock'''
**4400 (subcode 1-95)
 
11. '''Severe Sepsis'''
**4500 (subcodes 1-95)
 
12. '''Septecimia'''
**4600 (subcode 1-95)
 
13. '''Cystitis'''
**5100
 
14. '''Esophagitis 2nd to infection'''
**6400 (subcode 1-95)
 
15. '''Gastroenteritis'''
**6500 (subcode 1-95)
 
16. '''Neutropenic entercolitis'''
**6800 (subcode 1-95)
 
17. '''Pseudomembranous colitis - C-diff'''
**7212
 
18. '''post op surgical wound infection'''
**8300 (subcode 1-95)
 
19. '''soft tissue abcess'''
**8400 (subcode 1-95)
 
20. '''Soft tissue infection''' (includes cellulitis)
**8500 (subcode 1-95)
 
21. '''other ulcers'''
**94700
 
22. '''Tracheostomy (complications)'''
**77404 obstruction
**77405 malpositioning
**77406 bleeding (significant)
**77407 Fistula formation
**77408 site infection
**77490 any other complications
 
23. '''Pneumothorax (2nd to procedures)'''
**98001 2nd to pleural tap/thoracentesis
**98002 2nd to chest tube insertion
**98003 (see item #1 above - central line complication)
**98090 2nd to other procedures
 
24. '''Hemothorax (2nd to procedures)'''
**98101 2nd to pleural tap/thoracentesis
**98102 (see #1 above - central line complication)
**98103 2nd to chest tube insertion
**98190 2nd to other procedures
 
25. '''Main stem intubation'''
**98600
 
26. '''Aortic dissection post angioplasty'''
**98700
 
27. '''Liver laceration 2nd to chest tube insertion or other procedure'''
**98900
 
Dr.Dan Roberts had previously provided a list of “specific complications” that he wanted to track on medicine wards. --[[User:TOstryzniuk|TOstryzniuk]] 20:48, 23 November 2009 (CST)
 
[[Category: Diagnosis Coding]]

Latest revision as of 12:00, 30 July 2025

 Legacy - this list was set up when CCMDB had LIMITED slot for complication codes.  6 expanded to 9.  We no longer have limited fields, therefore this list is no longer necessary.

Content removed so it doesn't show in searches; see article history for details.