Tracheostomy, has one: Difference between revisions

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== Additional Info ==
== Additional Info ==
*This code should only be used as a comorbid diagnosis -- because if putting in the trach was related to admission, or happened after admission, then you wouldn't code this diagnosis, but instead as a CCI procedure code, specifically '''[[Tracheostomy creation]]'''.
*This code scan be used as a comorbid, admit, or acquired diagnosis --
*Admit diagnosis: For our IICU patients with chronic resp failure, we would code [[Respiratory failure (insufficiency), chronic]]  and [[Tracheostomy, has one]] We also apply the same rules to medicine. So if a patient is transferred to medicine from IICU with a Trach and on O2, we would use the same codes [[Respiratory failure (insufficiency), chronic]] linked with [[Tracheostomy, has one]]
*Comorb diagnosis: We do not code [[Tracheostomy, has one]] as a comorb unless they had the tracheostomy prior to this episode of care,
*Acquired diagnosis:  [[Tracheostomy, has one]]  is used as an acquired diagnosis if the patient undergoes this procedure after they are accepted to an ICU or medicine service.  [[Tracheostomy creation]] CCI code should also be entered. We do not code the CCI code if the trach was already present, unless on admission they have a complication that is directly related to the tracheostomy.


{{Discuss| Does this article need updating to include use as an admit code? See [[Respiratory failure (insufficiency), chronic]] for further discussion. }}
{{Discuss| Does this article need updating to include use as an admit code? See [[Respiratory failure (insufficiency), chronic]] for further discussion. }}

Revision as of 08:39, 21 July 2022

ICD10 Diagnosis
Dx: Tracheostomy, has one
ICD10 code: Z93.0
Pre-ICD10 counterpart: Tracheostomy
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements): No results
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

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    • 2019-01-01
    • 2999-12-31
    • Z93.0
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Additional Info

Does this article need updating to include use as an admit code? See Respiratory failure (insufficiency), chronic for further discussion. 
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Past medical history codes

Past medical history codes should only be captured as Comorbid Diagnoses that represent previous procedures or medical situations. Their names usually follow the pattern "Past history of X" or "X, has one". See Category:Past medical history for a list.

Alternate ICD10s to consider coding instead or in addition

Tracheostomy codes:
Ostomy codes:

For other codes for having devices or similar, see

Has one codes:

Candidate Combined ICD10 codes

  • reason why has one

Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 trach dxs consistentCCMDB.accdbimplemented
Query check ICD10 trach has trach but no TISSCCMDB.accdbimplemented
Query NDC Trach Dx TISSCentralized data front end.accdbretired

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