Change to coding locations for Decubitus Ulcers: Difference between revisions

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Created page with "Until 2025-06 we coded Decubitus Ulcer Diagnoses by stage, but not location. This page documents the transition to coding them with some locations included. == Relevant Codes == {{Collapsable | always=Codes that were retired | full= *{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening)}} *{{ICD10WithCode|Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)}} *{{ICD10WithCode|Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon,..."
 
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Until 2025-06 we coded Decubitus Ulcer Diagnoses by stage, but not location. This page documents the transition to coding them with some locations included.  
Until 2025-07-01 we coded Decubitus Ulcer Diagnoses by stage, but not location. This page documents the transition to coding them with some locations included.  
 
== Transition collection instructions ==
* '''Use the new decubitus diagnoses entered for any record''', regardless of admission, discharge, and record start time
* Existing decubitus diagnosis entries using the old codes will show up as blank lines; collectors will need to change the blank line to the new ICD 10 dx or an error will occur (reason for blank is that the old code is no longer available in the dropdown to list it, see [[Retiring an ICD10 or CCI Code]])
 
=== Reports/Indicators ===
* [[ICU Acquired Ulcer Rate]]
{{DJ|
* will there be a regular report for Andie, or is the change to [[ICU Acquired Ulcer Rate]] all that was needed? If so, here is the start, lets spin it out into its own page. If not, we can delete this discussion. [[User:Ttenbergen|Ttenbergen]] 23:31, 11 July 2025 (CDT)
----
Once complete the following section is used on any report page to provide structured data
::: the following is needed for the application of the Report template
Program: Critical Care
StartDtTm: <eg 2018-01-01>
EndDtTm: <eg 2018-01-01>
Frequency: <eg monthly, quarterly, annually, as requested>
ContactPerson: <names, organization if outside of Shared Health>
Recipients: <names>
MailingList: <Outlook list if applicable>
DataDependencies: <likely list of dxs, possibly including admit or dispo dttm>
SASFiles: <path(s) for SAS files>


== Relevant Codes ==
{{Collapsable | always=Codes that were retired | full=
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, stage not indicated}}
}}
}}
{{Collapsable | always=Codes that were added | full=  
 
=== ICD10 Dx Codes added ===
{{Collapsable | always= Codes that were added to [[s_ICD10 table]] and had wiki pages made | full=  
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening), of sacral area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening), of sacral area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening), of heel}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening), of heel}}
Line 29: Line 46:
}}  
}}  


== Left to do ==
{{Collapsable | always=Templates that were created | full=  
* add pages to wiki
* [[Template:Decubitus Deep Tissue Damage Details]]
** Dx pages
* [[Template:Decubitus Stage 1 Details]] eg as per [[Decubitus (pressure) ulcer, Stage I (surface reddening)]]
** [[Template:Decubitus Deep Tissue Damage Details]]
* [[Template:Decubitus Stage 2 Details]] eg as per [[Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)]]
* retire old pages
* [[Template:Decubitus Stage 3 Details]] eg as per [[Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)]]
* [[Template:Decubitus Stage 4 Details]] eg as per [[Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)]]
* [[Template:Decubitus Stage not indicated Details]] eg as per [[Decubitus (pressure) ulcer, stage not indicated]]
* [[Template:Decubitus location sacral area]]
* [[Template:Decubitus location heel]]
* [[Template:Decubitus location other area]]
}}


* update pages
=== Wiki pages retired ===
** [[Template:ICD10 Guideline Decubitus Ulcer]]
{{Collapsable | always=always= Codes that were retired in [[s_ICD10 table]] and had wiki pages retired | full=
** Task Team Meeting - Rolling Agenda and Minutes 2025
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, stage not indicated}}
}}


* add codes to CCMDB.accdb
=== Cross checks ===
* update [[:Template:ICD10 Guideline Decubitus Ulcer|coding decubitus ulcers]]
Considered, didn't have any before, don't think we need any.  


== Log ==
== Log ==
* [[Task Team Meeting - Rolling Agenda and Minutes 2025|ICU Database Task Group Meeting – May 14, 2025 | 2025-05-14]] - decided to  
* 2025-07-03 - Julie updated [[ICU Acquired Ulcer Rate]]
 
* 2025-07-01 - email to Lisa and Julie re best way to roll these out re. [[Retiring an ICD10 or CCI Code]]; decided to keep the old codes "retired" so they can no longer be used, understanding that this will mean they show up blank in [[CCMDB.accdb]]. Lisa emailed collectors about this.
 
* 2025-06-30
** Added Dx and template pages
** set up codes in [[s_ICD10 table]]
** updated [[CCMDB.accdb Change Log 2025]]
 
* 2025-06-25
** added pages
*** [[Change to coding locations for Decubitus Ulcers]] - this page describing the change process
*** [[2024 investigation of 2022 rise in the number of decubitus ulcers]] to contain some content that seemed like excess detail in [[Template:ICD10 Guideline Decubitus Ulcer]]
*** [[Template:Decubitus Deep Tissue Damage Details]] to contain the description provided at [[Task Team Meeting - Rolling Agenda and Minutes 2025|ICU Database Task Group Meeting – May 14, 2025 | Task 2025-05-14]]
* [[Task Team Meeting - Rolling Agenda and Minutes 2025#ICU Database Task Group Meeting – May 14, 2025 | 2025-05-14 Task ]] - decided to  
** implement coding body location (sacral, heel or other) of ulcer by adding a digit to our existing coded
** implement coding body location (sacral, heel or other) of ulcer by adding a digit to our existing coded
** add a new code for L89.6 for "Pressure-induced deep tissue damage"
** add a new code for L89.6 for "Pressure-induced deep tissue damage"
* 2025-05-14 - Lisa, Allan and Andie/Andrea met...Andie asked for the specific locations as outlined below as many of the ICU are trialing a new mepliex drsg.  She does not require any different reporting.  She had completed a previous quality project looking at sacral ulcers and found it difficult to use our data, she had to review all charts that had a stage 2 or worse stage to find the sacral ulcers
* [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2024#ICU Database Task Group Meeting – December 4, 2024 | 2024-12-04 Task Pt 4]] - request to add locations on body of ulcers as part of testing an intervention
* [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2024#ICU Database Task Group Meeting – March 20, 2024 | 2024-03-20 Task Pt 1]] - The [[2024 investigation of 2022 rise in the number of decubitus ulcers]] raised the idea to include location in coding of decubitus ulcers


[[Category:ICD10]]
[[Category:ICD10]]
[[Category:Decubitus ulcer | *]]
[[Category:Change explainer page]]

Latest revision as of 14:12, 26 September 2025

Until 2025-07-01 we coded Decubitus Ulcer Diagnoses by stage, but not location. This page documents the transition to coding them with some locations included.

Transition collection instructions

  • Use the new decubitus diagnoses entered for any record, regardless of admission, discharge, and record start time
  • Existing decubitus diagnosis entries using the old codes will show up as blank lines; collectors will need to change the blank line to the new ICD 10 dx or an error will occur (reason for blank is that the old code is no longer available in the dropdown to list it, see Retiring an ICD10 or CCI Code)

Reports/Indicators

  • will there be a regular report for Andie, or is the change to ICU Acquired Ulcer Rate all that was needed? If so, here is the start, lets spin it out into its own page. If not, we can delete this discussion. Ttenbergen 23:31, 11 July 2025 (CDT)

Once complete the following section is used on any report page to provide structured data

the following is needed for the application of the Report template
Program: Critical Care
StartDtTm: <eg 2018-01-01>
EndDtTm: <eg 2018-01-01>
Frequency: <eg monthly, quarterly, annually, as requested>
ContactPerson: <names, organization if outside of Shared Health>
Recipients: <names>
MailingList: <Outlook list if applicable>
DataDependencies: <likely list of dxs, possibly including admit or dispo dttm>
SASFiles: <path(s) for SAS files>
  • SMW


  • Cargo


  • Categories

ICD10 Dx Codes added

Codes that were added to s_ICD10 table and had wiki pages made   
Templates that were created   

Wiki pages retired

always= Codes that were retired in s_ICD10 table and had wiki pages retired   

Cross checks

Considered, didn't have any before, don't think we need any.

Log

  • 2025-07-01 - email to Lisa and Julie re best way to roll these out re. Retiring an ICD10 or CCI Code; decided to keep the old codes "retired" so they can no longer be used, understanding that this will mean they show up blank in CCMDB.accdb. Lisa emailed collectors about this.
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