Surgical follow-up care: Difference between revisions
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== Additional Info == | == Additional Info == | ||
=== Admission solely for follow up care === | |||
{{Collapsable| example | Patient returns from organ transplant in Toronto without any major complications, just to continue recovery before eventual successful discharge. }} | |||
If | |||
* a patient is admitted to our ward/unit solely for follow up care | |||
* the procedure itself would not have been coded by us because the first post-procedure ward was not one where we collect (or wasn't even at a WPG hospital) | |||
Then | |||
* Code [[Surgical follow-up care]] | |||
* '''code the CCI procedure that is being followed up as [[Admit Procedure]], removing FOR THIS USAGE ONLY any rules that would stop you from coding a procedure as an [[Admit Procedure]] | |||
For this usage, there is no time limit on when the procedure was done but nonetheless it must include the judgement that the reason for this admission was "routine" followup surgical care related to that procedure --- AS OPPOSED TO admission for some complication of that procedure. | |||
If instead the admission was for a complication of that procedure, and not routine followup surgical care, then '''don't code the procedure itself''' and instead code the complication as the [[Admit Diagnosis]], and as a [[Comorbid Diagnosis]] one of the "Past medical history" codes: | |||
{{ListICD10Category | categoryName = Past medical history}}. | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | == Related CCI Codes == | ||
Revision as of 01:21, 25 October 2018
| ICD10 Diagnosis | |
| Dx: | Surgical follow-up care |
| ICD10 code: | Z48 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Admission solely for follow up care
| click expand to see content |
|
{{{full}}} |
If
- a patient is admitted to our ward/unit solely for follow up care
- the procedure itself would not have been coded by us because the first post-procedure ward was not one where we collect (or wasn't even at a WPG hospital)
Then
- Code Surgical follow-up care
- code the CCI procedure that is being followed up as Admit Procedure, removing FOR THIS USAGE ONLY any rules that would stop you from coding a procedure as an Admit Procedure
For this usage, there is no time limit on when the procedure was done but nonetheless it must include the judgement that the reason for this admission was "routine" followup surgical care related to that procedure --- AS OPPOSED TO admission for some complication of that procedure.
If instead the admission was for a complication of that procedure, and not routine followup surgical care, then don't code the procedure itself and instead code the complication as the Admit Diagnosis, and as a Comorbid Diagnosis one of the "Past medical history" codes:
| Past medical history codes: |
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes
Related Articles
| Related articles: |
Show all ICD10 Subcategories
|
ICD10 Categories: |