When to code a patient as post-op: Difference between revisions

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From an email from May 2007:
{{LegacyContent
|explanation=no longer relevant in [[CCI]]
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'''Question: (from HSC data colelctors)'''
At the ''task meeting April 10,2014'' we discussed the coding of [[:Category:Surgical Procedure (old) | post-op]] patients who come from other locations than the OR or PACU.
"If a patient comes to medicine after having say a pace maker or some other surgical procedure how many days post-op do you put the procedure in your admit diagnosis"


'''Answer: (from an email from Trish)'''
The question was:
When do we include the surgical procedure as part of our diagnosis?
*The decision was made that a specific time frame for including the surgery was not the best way.
*If the recent surgery is '''relevant''' to reason for admission then include it in your admit dx as the last code.
*For example a patient had a hip replacement 10 days ago,develops a HAP and is admitted to your unit.The surgery could go in the last diagnostic spot.
*If reason for admission to your ward has nothing to do with recent surgery they don't include it in your diagnosis
*for coding instructions for angiograms see [[Coronary Angiogram]]
Dr Garland feels that collectors judgement is best on when to include the surgery in the diagnosis.


"If the recent surgery is relevant to reason for admission then include it in your admit dx as the last code.
== Related articles ==
{{Related Articles}}


If reason for admission to your ward has nothing to do with recent surgery they don't include.
[[Category:Surgical Procedure (old)| *]]
 
[[Category:Diagnosis Coding (old)]]
 
}}
Within 3-4 days is good enough"
 
 
{{discussion}}
== Discussion ==
* If a date is to be used as a cut-off, it should be a distinct date rather than a range. Which should it be? [[User:Ttenbergen|Ttenbergen]] 16:39, 16 May 2008 (CDT)
 
* The statement to only include it if relevant doesn't seem to require a date at all. Should a date even be part of the guideline? [[User:Ttenbergen|Ttenbergen]] 16:39, 16 May 2008 (CDT)
 
 
== to do before de-stubbing ==
- once the discussion concludes this should be pulled into collection guidelines framework
 
*I had a pt who had an ORIF done and was transfered to MICU in cardiogenic shock 2 days post op.  3 days post op she has a CVA.  Do I subcode the CVA as postop?[[User:MWaschuk|MWaschuk]] 14:22, 17 June 2008 (CDT)
 
 
{{stub}}
[[Category:Questions]]
[[Category:Diagnosis Coding]]
[[Category:Questions General Collection]]

Latest revision as of 11:11, 30 July 2025

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At the task meeting April 10,2014 we discussed the coding of post-op patients who come from other locations than the OR or PACU.

The question was: When do we include the surgical procedure as part of our diagnosis?

  • The decision was made that a specific time frame for including the surgery was not the best way.
  • If the recent surgery is relevant to reason for admission then include it in your admit dx as the last code.
  • For example a patient had a hip replacement 10 days ago,develops a HAP and is admitted to your unit.The surgery could go in the last diagnostic spot.
  • If reason for admission to your ward has nothing to do with recent surgery they don't include it in your diagnosis
  • for coding instructions for angiograms see Coronary Angiogram

Dr Garland feels that collectors judgement is best on when to include the surgery in the diagnosis.

Related articles

Related articles:
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