Isolation, infectious: Difference between revisions

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{{Discussion}}***For patients who are admitted and have pre existing MRSA to code infectious isolation as an '''acquired''' CCI code is counterintuitive if it is present and treated with isolation on admission.

{{DiscussTask | For patients who are admitted and have pre existing MRSA to code infectious isolation as an '''acquired''' CCI code is counterintuitive if it is present and treated with isolation on admission. Pre existing colonization would be included as an ADMIT DX if treated with isolation, and the isolation would be included as an admit CCI procedure.

Pre existing colonization would be included as an ~~admit dx~~ if treated with isolation, and the isolation would be included as an admit CCI procedure.

*I agree, it does feel counterintuitive, but if we are following the WIKI guidelines, it seems like this is how we are supposed to code it. I think their is currently a lot of discrepancy in how this is being coded.}}

*I agree, it does feel counterintuitive, but if we are following the WIKI guidelines, it seems like this is how we are supposed to code it. I think their is currently a lot of discrepancy in how this is being coded.

**there seems to be confusion all around when to code something as an admit vs acquired vs comorbid. One example we have seen, someone comes in to ICU with stab would injury to heart, has had cardiac arrests, and is in shock. We see the trauma injury to heart coded as comordid.

=== Isolation for Use of Cytotoxic Agents ===

*This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.

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-{{Discussion}}***For patients who are admitted and have pre existing MRSA to code infectious isolation as an '''acquired''' CCI code is counterintuitive if it is present and treated with isolation on admission.
+{{DiscussTask | For patients who are admitted and have pre existing MRSA to code infectious isolation as an '''acquired''' CCI code is counterintuitive if it is present and treated with isolation on admission. Pre existing colonization would be included as an ADMIT DX if treated with isolation, and the isolation would be included as an admit CCI procedure.
-Pre existing colonization would be included as an admit dx if treated with isolation, and the isolation would be included as an admit CCI procedure.
+*I agree, it does feel counterintuitive, but if we are following the WIKI guidelines, it seems like this is how we are supposed to code it. I think their is currently a lot of discrepancy in how this is being coded.}}
-*I agree, it does feel counterintuitive, but if we are following the WIKI guidelines, it seems like this is how we are supposed to code it. I think their is currently a lot of discrepancy in how this is being coded.
+**there seems to be  confusion all around when to code something as an admit vs acquired vs comorbid. One example we have seen, someone comes in to ICU with stab would injury to heart, has had cardiac arrests, and is in shock.  We see the trauma injury to heart coded as comordid.
 === Isolation for Use of Cytotoxic Agents ===
 *This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.