Template:ICD10 Guideline Falls: Difference between revisions
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<noinclude> | |||
This template info about coding falls to keep it consistent across pages. | |||
== Rules for Coding Falls in ICD10 == | To use: | ||
:: <nowiki>{{</nowiki>{{PAGENAME}}<nowiki>}}</nowiki> | |||
[[Category:ICD10 wiki infrastructure]] | |||
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</noinclude>=== Rules for Coding Falls in ICD10 === | |||
*Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the PRIMARY code is the injury | *Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the PRIMARY code is the injury | ||
{{Discuss | who = Allan | question = 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)}} | {{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)}} | |||
, with the associated mechanism of injury being '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]''' | , with the associated mechanism of injury being '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]''' | ||
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*Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way. | *Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way. | ||
*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)]]'''. | *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 == | == Alternate ICD10s to consider coding instead or in addition == | ||
Revision as of 22:14, 30 November 2018
This template info about coding falls to keep it consistent across pages.
To use:
- {{ICD10 Guideline Falls}}
Rules for Coding Falls in ICD10
- Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the PRIMARY code is the injury
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t
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, with the associated mechanism of injury being Mechanism of injury: fall or jump (not necessarily from a height) With the exception from Observation after accident/injury if 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.
- Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way.
- 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.