Template:ICD10 Guideline Falls: Difference between revisions

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{{Discuss | who = Allan | question = t

*Do you mean [[Primary Admit Diagnosis]]? But what if the fall isn't the main reason they are in hospital? Ttenbergen 21:52, 2018 October 15 (CDT)

*AG REPLY --- no. the word "PRIMARY" here does not refer to the #1 admit dx, but instead refers to which of the 2 combo codes [the fall and the injury that occurred] is identified as the main/primary item. I've changed the wording to avoid confusion.}}

</noinclude>=== Rules for Coding Falls in ICD10 ===

*Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code ~~the PRIMARY code is the injury~~

*Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the associated mechanism of injury as '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''

~~{{Discuss | who = Allan | question = t~~

*Do you mean [[Primary Admit Diagnosis]]? But what if the fall isn't the main reason they are in hospital? Ttenbergen 21:52, 2018 October 15 (CDT)}}

~~, with~~ the associated mechanism of injury ~~being~~ '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''

With the exception from '''[[Observation after accident/injury]]''' if it is used to code the observational care itself, not the suspected injury. So, in regard to a fall in hospital without an injury, use this code only if there was actual additional medical observation that resulted from the fall, e.g. an extra day in hospital.

*Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way.

*For out-of-hospital falls that are a reason for admission that did '''NOT''' cause an injury code '''[[Observation after accident/injury]]''' combined with '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''.

*For out-of-hospital falls that are a reason for admission that did '''NOT''' cause an injury --> code '''[[Observation after accident/injury]]''' combined with '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''.

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+{{Discuss | who = Allan | question = t
+*Do you mean [[Primary Admit Diagnosis]]? But what if the fall isn't the main reason they are in hospital? Ttenbergen 21:52, 2018 October 15 (CDT)
+*AG REPLY --- no.  the word "PRIMARY" here does not refer to the #1 admit dx, but instead refers to which of the 2 combo codes [the fall and the injury that occurred] is identified as the main/primary item.  I've changed the wording to avoid confusion.}}
 </noinclude>=== Rules for Coding Falls in ICD10 ===
-*Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the PRIMARY code is the injury
+*Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the associated mechanism of injury as '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''
-{{Discuss | who = Allan | question = t
-*Do you mean [[Primary Admit Diagnosis]]? But what if the fall isn't the main reason they are in hospital? Ttenbergen 21:52, 2018 October 15 (CDT)}}
-, with the associated mechanism of injury being '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''
-With the exception from '''[[Observation after accident/injury]]''' if it is used to code the observational care itself, not the suspected injury. So, in regard to a fall in hospital without an injury, use this code only if there was actual additional medical observation that resulted from the fall, e.g. an extra day in hospital.
 *Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way.
-*For out-of-hospital falls that are a reason for admission that did '''NOT''' cause an injury code '''[[Observation after accident/injury]]''' combined with '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''.
+*For out-of-hospital falls that are a reason for admission that did '''NOT''' cause an injury --> code '''[[Observation after accident/injury]]''' combined with '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''.