Template:ICD10 Guideline Como vs Admit: Difference between revisions

Line 12:

{{DA | Charlson Admit Como - this is part of that discussion - if we limit which admits will count as comos we need to review}}

=== When to use Comorbid vs Admit Diagnosis or neither ===

==== When not to code a dx at all ====

* Dx was present in the past but that problem is '''resolved''' AND is not one of the [[:Category: Past medical history]] codes

Line 18:

{{Ex |*Patient had appendix removed 7 years ago and is now admitted with injuries from a car accident; '''don't code the appendix removal''' at all.

*Patient had the left lung removed 7 years ago. '''Code this''' because it is relevant to his medical status because the guy only has 1 lung now. Similar if he had his spleen removed in the past.

*Patient has hypertension that's well controlled and not at all an issue related to the reasons for admission. '''Code this''', because even if not relevant to current admission the hypertension IS relevant to this person's chronic medical situation and thus SHOULD be coded, as a comorbid. }}

*Patient has hypertension that's well controlled and not at all an issue related to the reasons for admission. '''Code this''', because even if not relevant to current admission the hypertension IS relevant to this person's chronic medical situation and thus SHOULD be coded, as a comorbid.

*pneumonia recurrent, of course should be coded in admit or acquired but it-should NOT be coded as a comorbid.}}

==== When to code an [[Admit Diagnosis]] ====

@@ Line 12: / Line 12: @@
 {{DA | Charlson Admit Como - this is part of that discussion - if we limit which admits will count as comos we need to review}}
 === When to use Comorbid vs Admit Diagnosis or neither ===
 ==== When not to code a dx at all ====
 * Dx was present in the past but that problem is '''resolved''' AND is not one of the [[:Category: Past medical history]] codes
@@ Line 18: / Line 18: @@
 {{Ex |*Patient had appendix removed 7 years ago and is now admitted with injuries from a car accident; '''don't code the appendix removal''' at all.
 *Patient had the left lung removed 7 years ago. '''Code this''' because it is relevant to his medical status because the guy only has 1 lung now.  Similar if he had his spleen removed in the past.
-*Patient has hypertension that's well controlled and not at all an issue related to the reasons for admission. '''Code this''', because even if not relevant to current admission the hypertension IS relevant to this person's chronic medical situation and thus SHOULD be coded, as a comorbid. }}
+*Patient has hypertension that's well controlled and not at all an issue related to the reasons for admission. '''Code this''', because even if not relevant to current admission the hypertension IS relevant to this person's chronic medical situation and thus SHOULD be coded, as a comorbid.
+*pneumonia recurrent, of course should be coded in admit or acquired but it-should NOT be coded as a comorbid.}}
 ==== When to code an [[Admit Diagnosis]] ====