Combined ICD10 codes: Difference between revisions
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=== Q&A: Just How Far Should You Go in Linking Cause and Effect Diagnoses? === | === Q&A: Just How Far Should You Go in Linking Cause and Effect Diagnoses? === | ||
*If it is abundantly clear that A caused B that caused C and all of A, B, and C are all Admit or all Acquired, then combine them together | *If it is abundantly clear that A caused B that caused C and all of A, B, and C are all Admit or all Acquired, then combine them together. '''If it is possible but not COMPLETELY clear that the items are causally linked, then do NOT combine them''' | ||
*Example#1: Stabbed --> lots of internal organ injuries from the stabbing --> big blood loss ---> hemorrhagic shock --> cardiac arrest. | *Example#1: Stabbed --> lots of internal organ injuries from the stabbing --> big blood loss ---> hemorrhagic shock --> cardiac arrest. | ||
*Example #2: Chemotherapy --> N/V as an adverse effect --> dehydration --> orthostatic syncope. But Chemo also caused drug-induced thrombocyotopenia as an adverse effect. And Chemo also caused Skin rash as an adverse effect. And all were present on admission (or all occurred after admission and so are Acquired diagnoses). In this case we have the Chemo causing problems in 3 separate pathways. Here again, we want you to combine all 6 codes together with the same priority number. | *Example #2: Chemotherapy --> N/V as an adverse effect --> dehydration --> orthostatic syncope. But Chemo also caused drug-induced thrombocyotopenia as an adverse effect. And Chemo also caused Skin rash as an adverse effect. And all were present on admission (or all occurred after admission and so are Acquired diagnoses). In this case we have the Chemo causing problems in 3 separate pathways. Here again, we want you to combine all 6 codes together with the same priority number. | ||
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Drug-induced thrombocytopenia | Drug-induced thrombocytopenia | ||
=== Primary Admit Diagnosis in Combined Codes === | === Primary Admit Diagnosis in Combined Codes === | ||