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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.
*NOTE:Dr.Dan Roberts had previously provided this list of “specific complications” that he wanted to track on medicine wards. --[[User:TOstryzniuk|TOstryzniuk]] 20:48, 23 November 2009 (CST)


*'''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 Blood stream Infection (CLR-BSI)]]'''  (see [[UPL]] for subcode 1-95 - not all subcodes apply and we have no rules to exclude any)
**98003  [[Pneumothorax 2nd to central line insertion | 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
**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''' '''[[Art/Ven Embolus/Thrombus]]''' -do you just want just lower extremity DVT or any other type?
[[Category:Legacy Data]]
**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. '''[[Ulcers - Decubitus only]]'''
**94500  Decubitus ulcer 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. '''[[HAP-Hospital Acquired Pneumonia]]'''
**3800  ([[UPL]] subcodes 1-95 (exclude subcode 59, see below))
**3600  ([[UPL]] subcodes 1-95 (Pneumonia if not sure if hosp or community acquired, exclude subcode 59)) 
 
5. '''Aspiration Pneumonia''' '''[[Aspiration (early presentation, documented aspiration)]]'''
**3859  hospital acquired aspiration pneumonia
**  [[Pneumonia Etiology not clear | 3659]]  Pneumonia Etiology not clear (not sure where acquired)  (see discussion [[Pneumonia Etiology not clear | here]])
 
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.''' [[:Category:Arrest | Cardiac Arrest]]'''
**10001 '''[[Unwitnessed Cardiac Arrest]]'''
**10002 '''[[Witnessed Cardiac Arrest]]'''
 
8. '''[[:Category: CVA-Cerebral Vascular Accident | CVA-Cerebral Vascular Accident]]'''
**50501 [[CVA-Cerebral Vascular Accident | CVA Post angiogram]]
**50502 [[CVA-Cerebral Vascular Accident | CVA Post operative procedure]]
**50504 [[CVA-Cerebral Vascular Accident | CVA Post anticoagulation therapy]]
**50505 [[CVA-Cerebral Vascular Accident | CVA Intra-operative]]
**50506 [[CVA-Cerebral Vascular Accident | CVA Post Partum]]
**50590 [[CVA-Cerebral Vascular Accident | CVA 2nd to OTHER causes]] (original description in "other medical proedures)
**98300 CVA due to central line - No Article (also see Central line complications)
 
9. '''[[NG tube placement problems]]'''
**99101 Aspiration due to Malpositioning
 
10. '''[[Septic Shock]]'''
**4400 ([[UPL]] subcode 1-95)
 
11. '''[[Severe Sepsis]]'''
**4500 ([[UPL]]subcodes 1-95)
 
12. '''[[Septicemia/Bacteremia/Fungemia]]'''
**4600 ([[UPL]] subcode 1-95)
 
13. '''[[Cystitis (Bladder Infection)]]'''
**5100
 
14. '''[[Esophagitis]] 2nd to infection'''
**6400 ([[UPL]] subcode 1-95)
 
15. '''[[Gastroenteritis]]'''
**6500 (subcode 1-95)
 
16. '''[[Neutropenic Enterocolitis]]'''
**6800 ([[UPL]] subcode 1-95)
 
17. '''[[Pseudomembranous Colitis (C-DIFF)]]'''
**7212
 
18. '''[[Post OP Surg Wound Infection]]'''
**8300 ([[UPL]] subcode 1-95)
 
19. '''[[Soft tissue abcess]]'''
**8400 ([[UPL]] subcode 1-95)
 
20. '''[[Soft Tissue Infection (includes Cellulitis)]]'''
**8500 ([[UPL]] subcode 1-95)
 
21. '''[[Ulcers - Lower Extremity & other]]'''
**94700
 
22. '''[[Tracheostomy]] (complications)'''
**77404 obstruction
**77405 malpositioning
**77406 bleeding (significant)
**77407 Fistula formation
**77408 site infection
**77490 any other complications
 
23. '''[[:Category: Pneumothorax | Pneumothorax]] (2nd to procedures)'''
**98001 [[Pneumothorax 2nd to pleural tap/thoracentesis | 2nd to pleural tap/thoracentesis]]
**98002 2nd to chest tube insertion
**98003 (see item #1 above - central line complication)
**98090 2nd to other procedures
**1101  iatrogenic  (the preference is to use code 980 which is more specific)
 
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
**1001  Iatrogenic (the preference is to use code 981 which is more specific)
 
25. '''[[Mainstem intubation]]'''
**98600
 
26. '''[[Aortic dissection post angioplasty]]'''
**98700
 
27. '''[[Liver laceration post procedure]]''' (post chest tube or any other procedure)
**98900
 
 
 
[[Category: Complications]]
[[Category: Diagnosis Coding]]
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