Surgical follow-up care

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	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • Z48

• Cargo

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• SMW

• Cargo

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Additional Info

Admission solely for follow up care

If

• a patient is admitted to our ward/unit solely for Surgical 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

Example:

Patient returns from organ transplant in Toronto without any major complications, just to continue recovery before eventual successful discharge.

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 code the procedure as an Admit Procedure and code the complication as the Admit Diagnosis. Code any relevant Comorbid Diagnosis, including the reason for the transplant as a Comorbid Diagnosis. Do not code the transplant itself as a Comorbid Diagnosis of the current transplanted organ, as this is a part of this hospitalization, and it is captured in the admit CCI.

Past medical history codes:

.

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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