Query check CCI ICD10 Dialysis no Dx: Difference between revisions

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*** So there are codes that ''might'' have dialysis, and codes that ''would'' have dialysis, right? I updated the two listings above. If pt has a dialysis-mandatory dx, must have TISS. If a pt has TISS, must have a dialysis-optional dx. Does the list of dxs in each case look right now? And, can you think of scenarios where these errors would lead to false positives? Ttenbergen 17:12, 2017 April 26 (CDT)

****Sorry T I misread the diagnostic codes, was looking at subcodes of 350, so I updated the above. 350 ARF always has dialysis, 351 CRF comorbid (chronic dialysis)could potentially create a false positive if a patient is admitted and dies before every receiving dialysis, this does not happen very often, but the potential is there. All other codes "might" have dialysis but would usually be coded in addition to 350 if they are being dialyzed.[[User:Lkaita|Lisa Kaita]] 10:11, 2017 April 27 (CDT)

***** I could add restrictions to reduce false positives but maybe not trap odd cases. Can you think of a reasonable restriction? In [[Check CRF/ARF against TISS Dialysis]] we were saying "LOS > 3days; I could add some death concept to the restrictions if we can think of them. Actually, is there any reason the two checks would NOT use essentially the same combination of criteria for Tasks (med) vs TISS (icu)? It might even end up being the same check... if the dx + criteria are right, must have either task or TISS?Ttenbergen 15:54, 2017 April 27 (CDT)

== Short stay patients, incl community hospitals==

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 *** So there are codes that ''might'' have dialysis, and codes that ''would'' have dialysis, right? I updated the two listings above. If pt has a dialysis-mandatory dx, must have TISS. If a pt has TISS, must have a dialysis-optional dx. Does the list of dxs in each case look right now? And, can you think of scenarios where these errors would lead to false positives? Ttenbergen 17:12, 2017 April 26 (CDT)
 ****Sorry T I misread the diagnostic codes, was looking at subcodes of 350, so I updated the above.  350 ARF always has dialysis, 351 CRF comorbid (chronic dialysis)could potentially create a false positive if a patient is admitted and dies before every receiving dialysis, this does not happen very often, but the potential is there.  All other codes "might" have dialysis but would usually be coded in addition to 350 if they are being dialyzed.[[User:Lkaita|Lisa Kaita]] 10:11, 2017 April 27 (CDT)
+***** I could add restrictions to reduce false positives but maybe not trap odd cases. Can you think of a reasonable restriction? In [[Check CRF/ARF against TISS Dialysis]] we were saying "LOS > 3days; I could add some death concept to the restrictions if we can think of them. Actually, is there any reason the two checks would NOT use essentially the same combination of criteria for Tasks (med) vs TISS (icu)? It might even end up being the same check... if the dx + criteria are right, must have either task or TISS?Ttenbergen 15:54, 2017 April 27 (CDT)
 == Short stay patients, incl community hospitals==