Template:ICD10 Guideline Falls: Difference between revisions

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[[Category:ICD10 wiki infrastructure]]

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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 associated mechanism of injury as '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''

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*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)]]'''.

*This code is used if a person was observed for a suspected accident/injury/trauma but did NOT end up having an injury (e.g. patient fell, hit his head, initial workup was negative but he was admitted and observed for a day, during which no evidence of an actual injury occurred.

*Along with this, you should also code the Mechanism of the accident, using one of the codes in [[:Category:Mechanism]].

*If an actual injury occurred, coded that (or those), not his entity.

*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.

== Alternate ICD10s to consider coding instead or in addition ==

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 [[Category:ICD10 wiki infrastructure]]
 ----
-{{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 associated mechanism of injury as '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''
@@ Line 19: / Line 13: @@
 *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)]]'''.
-*This code is used if a person was observed for a suspected accident/injury/trauma but did NOT end up having an injury (e.g. patient fell, hit his head, initial workup was negative but he was admitted and observed for a day, during which no evidence of an actual injury occurred.
-*Along with this, you should also code the Mechanism of the accident, using one of the codes in [[:Category:Mechanism]].
-*If an actual injury occurred, coded that (or those),  not his entity.
-*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.
 == Alternate ICD10s to consider coding instead or in addition ==