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| {{Ex | : COPD patient to have elective surgery and is brought in 2 days early to get intensive COPD management to lower periop risk.}} | | {{Ex | : COPD patient to have elective surgery and is brought in 2 days early to get intensive COPD management to lower periop risk.}} |
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| === Organ donors === | | === Living donor organ donation === |
| * 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.
| | See [[Guideline for coding living donor organ donation]] |
| * 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.
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| *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:
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| **As an [[Admit Procedure]], combine the organ removed with [[Procure, Harvest, Obtain for Further Use]]
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| **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}}
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| == Alternate ICD10s to consider coding instead or in addition == | | == Alternate ICD10s to consider coding instead or in addition == |