Tachyarrythmias: Difference between revisions

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Tachyarrythmia guideline change for Medicine.
Line 7: Line 7:




==Definition==
== [[General Diagnosis Coding Guidelines | Guidelines]] ==
=== For ICU ===
* If requires defibrillation/cardioversion or Tx with  
* If requires defibrillation/cardioversion or Tx with  
* continuous antiarrythmics infusion
* continuous antiarrythmics infusion
* bolus Tx does not qualify
* bolus Tx does not qualify


{{discussion}}
=== For Medicine ===
==Discussion==
(changed 1 Jun 09)
Summary: DCs think the current definition misses important
* new onset
Tachyarrythmia cases because of the way they are managed on
* EKG/Rhythm strip showing tachyarrythmia
med wards. Would we be able to include all that are
* receiving drug or electronic treatment
continuously monitored? [[User:Ttenbergen|Ttenbergen]] 13:55, 28 May 2009 (CDT)
 
* On Medicine wards we get many patients in rapid atrial fibrillation that require bolus treatments. By the code book definition they do not qualify for coding as atrial fibrillation because they are not getting continuous infusions. I think this definition is outdated. Are other data collectors coding unstable atrial fibrillation on Medical wards?[[User:GHall|GHall]] 15:55, 16 April 2009 (CDT)
**We are not trying to capture every patient who has had a rhythm disturbance and was given a few bolus's to rectify the problem.  The population that we are tracking in this group is small because we only want to capture rhythm disturbances that require this more severe level of TX. --[[User:TOstryzniuk|TOstryzniuk]] 17:20, 16 April 2009 (CDT)
***We have patients who are admitted to the high observation unit for EKG monitoring and treatment of rapid atrial fibrillation which traditionally in the past would be admitted to an intensive care unit.This is uncontrolled atrial fibrillation.[[User:GHall|GHall]] 18:43, 16 April 2009 (CDT)
****At the Vic we have patients who are admitted to the ward with EKG telemetry for uncontrolled symptomatic atrial fib treated with boluses this is their admitting diagnosis per physician. Should we not be coding this?[[User:SKiesman|SKiesman]] 09:15, 17 April 2009 (CDT)
*****HSC old cardiology unit admits patients from ER due to AF, that require medical mangement and is their sole reason for admission(these patients do not follow the true definition of a tachyarrythmias)--[[User:FLindell|FLindell]] 08:33, 20 April 2009 (CDT)

Revision as of 13:19, 1 June 2009

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Cardiovascular (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: TACHYARRYTHMIAS
Sub Diagnosis:
  • 1 Ventricular tachycardia
  • 2 Supraventricular Tach
  • 3 Atrial Fibrillation/Flutter
  • 4 Ventricular Fibrillation
  • 90 Other
Diagnosis Code: 131-00
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected



Guidelines

For ICU

  • If requires defibrillation/cardioversion or Tx with
  • continuous antiarrythmics infusion
  • bolus Tx does not qualify

For Medicine

(changed 1 Jun 09)

  • new onset
  • EKG/Rhythm strip showing tachyarrythmia
  • receiving drug or electronic treatment
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