Isolation, infectious: Difference between revisions
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*While this can be an [[Admit Procedure]] or an [[Acquired Procedure]], it usually will be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why. | *While this can be an [[Admit Procedure]] or an [[Acquired Procedure]], it usually will be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why. | ||
*It can, on occasion be coded as both an [[Admit Procedure]] and (later in the admission) as a separate [[Acquired Procedure]]. | *It can, on occasion be coded as both an [[Admit Procedure]] and (later in the admission) as a separate [[Acquired Procedure]]. | ||
{{Discuss| | {{Discuss| | ||
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** Is there a way it would not meet the definition of [[Admit Procedure]]? Are you wondering because the procedure is really more of a continuous thing, which most procedures would not be? [[Admit Procedure]] seems to define this all around the start of the record. Could you please clarify how it is not clear? Ttenbergen 21:26, 2020 November 1 (CST) | ** Is there a way it would not meet the definition of [[Admit Procedure]]? Are you wondering because the procedure is really more of a continuous thing, which most procedures would not be? [[Admit Procedure]] seems to define this all around the start of the record. Could you please clarify how it is not clear? Ttenbergen 21:26, 2020 November 1 (CST) | ||
***I am wondering because there is no physical move to another unit in the case of EMIP and most of the time, isolation is implemented prior to medicine accept date/time Thank you, [[User:Ppiche|Pamela Piche]] 06:53, 2020 November 3 (CST). | ***I am wondering because there is no physical move to another unit in the case of EMIP and most of the time, isolation is implemented prior to medicine accept date/time Thank you, [[User:Ppiche|Pamela Piche]] 06:53, 2020 November 3 (CST). | ||
**** The instructions now are that an admit procedure is related to the start of the database record ([[Admit Procedure]]). Would that make it clear that this is should be used for EMIPs? If so, please clear out this discussion, of not pls elaborate. Ttenbergen 09:43, 2020 November 10 (CST) | |||
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=== Definition === | === Definition === |
Revision as of 10:43, 2020 November 10
CCI Picklist | |
Procedure: | Isolation, infectious |
CCI Picklist code: | 7.SC.70.SA |
CCI Collection Mode: | CCI collect first |
Start Date: | 2018-04-25 |
Stop Date: |
This procedure is a part of CCI Collection via CCI Picklist.
Additional Info
Code as Acquired Procedure
- While this can be an Admit Procedure or an Acquired Procedure, it usually will be coded as an Acquired Procedure. It's counter-intuitive, but review the documentation at Acquired Procedure/Admit Procedure and it should be clear why.
- It can, on occasion be coded as both an Admit Procedure and (later in the admission) as a separate Acquired Procedure.
|
Definition
- This is a procedure code for a patient who is on infection isolation precautions.
- The person does NOT have to turn out to have the condition for which isolation is indicated.
- Thus use it if a patient is put on isolation for TB, or COVID-19 even if they turn out NOT to have those infections.
- Can also use it for somebody put on isolation prophylactically, as is the case with reverse isolation.
- It includes any/all of the following kinds of isolation protocols:
- gloves only
- gloves and gown
- mask
- negative pressure room use
- reverse isolation -- i.e. a person at risk for getting infection (e.g. neutropenic after chemotherapy for cancer) is isolated to try and avoid them being exposed
- cohorting the patient with other patients with the same pathogen
In the context of Colonized with organism (not infected)
- This code could be either an Admit or Acquired procedure.
- If it qualifies for the rules of Admit Procedure then use that. If not, use Acquired Procedure.
Do not use this code for 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.
Collecting "CCI collect first" items
- "CCI collect first" items are entered the first time they happen
- Px Date
- if an Acquired Procedure, enter them with the Px Date of the first time they happen
- if an Admit Procedure leave the date blank and just enter the procedure
- Px Count is always 1 for this collection mode
Px Date for patients who move
See Px Date#Moves
Alternate CCIs to consider coding instead or in addition
Other procedure in Therapeutic Procedure: |
Related ICD10 Codes
Data Integrity Checks (automatic list)
none found
Data use
- Medicine report - need right link
Related Articles
CCI_Picklist | CCI component 1 codes - what organ was something done to | CCI component 2 codes - what was done |