Preparatory care (incl preop optimization): Difference between revisions
Ttenbergen (talk | contribs) mNo edit summary |
No edit summary |
||
| Line 12: | Line 12: | ||
== Additional Info == | == Additional Info == | ||
This DX is to be used if this is one of the main reasons for admission to | *This DX is to be used if this is one of the main reasons for admission to a ward or ICU prior to going to OR, not for routine preop surgical preparation. | ||
*Example: COPD patient to have elective surgery and is brought in 2 days early to get intensive COPD management to lower periop risk. | |||
*Use this code for a live organ donor who comes in electively before donating the organ (usually a kidney) to be "tuned up" by the surgical service. | |||
**Note that in most cases, the person goes off to OR to have the organ harvested and never returns to ICU or Medicine. In that usual case, there WILL be no codes identifying that the person was an organ donor, and this is OK. | |||
**In the rarer case where they go to OR, get the organ harvested and have a problem that gets them to an ICU or one of our wards, then you should code BOTH of the following: | |||
***As an admit procedure code, combine the organ removed with [[Procure, Harvest, Obtain for Further Use]] | |||
***As an admit diagnosis code, [[Organ donor (organ/tissue donation by the donor)]] AND whatever operative complication they had that led to coming to the unit. {{DT | needs to go elsewhere}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||