When to code a patient as post-op: Difference between revisions

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**Does this include angiograms? When a pt has an angiogram/plasty/stent just prior to(reason for admisssion) or during their admission to ICU, should the procedure(s) be included in their admit Dx upon transfer to Medicine? ...If the angio should be coded as an admit to Medicine does this apply only if angio done less than 4 days prior to transfer to ward?[[User:Mlaporte|Mlaporte]] 18:28, 21 December 2010 (CST)

*** At HSC it is our understanding that Angiogram/Plasty/Stent is treated as a test,If a pt comes into our ER and has an urgent angio prior to coming to the unit, we would put it in our last admit. When pt is on the unit and has an angio it would be my complication, and when we transfer the pt to another unit it would not be recoded. On my unit B3 because it is split into medicine/day surgery I will get day surgery pts that went for dx angio and come back as plasties and would have to be admitted for monitoring, they are admitted as medicine pts and their 1st admit would be the angio/plasty/stent and then what ever(most likely USA)--[[User:PStein|PStein]] 11:25, 22 December 2010 (CST)

**The following are the guidelines for coding Angiograms (as discussed with Trish):

-When a patient goes for an angiogram and is then admitted to ICU the Angiogram is part of the ICU Admit Diagnosis.

-When a patient admitted in an ICU goes for an angiogram and returns to the same ICU the Angiogram is an ICU Acquired Complication.

-When either of the above patients are transferred to the Medical ward '''DO NOT''' code the angiogram as part of the Medicine Admit Diagnosis. The data between continuous ICU and Medicine admissions can be linked; so there is no need to code the angiogram twice.

--When a patient admitted in an ICU goes for an angiogram and does not return to ICU; but, goes directly to a Medicine ward post-angio the Angiogram is a part of the Medicine Admit Diagnosis.[[User:Mlaporte|Mlaporte]] 18:24, 18 January 2011 (CST)

== to do before de-stubbing ==

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 **Does this include angiograms?  When a pt has an angiogram/plasty/stent just prior to(reason for admisssion) or during their admission to ICU, should the procedure(s) be included in their admit Dx upon transfer to Medicine? ...If the angio should be coded as an admit to Medicine does this apply only if angio done less than 4 days prior to transfer to ward?[[User:Mlaporte|Mlaporte]] 18:28, 21 December 2010 (CST)
 *** At HSC it is our understanding that Angiogram/Plasty/Stent is treated as a test,If a pt comes into our ER and has an urgent angio prior to coming to the unit, we would put it in our last admit. When pt is on the unit and has an angio it would be my complication, and when we transfer the pt to another unit it would not be recoded. On my unit B3 because it is split into medicine/day surgery I will get day surgery pts that went for dx angio and come back as plasties and would have to be admitted for monitoring, they are admitted as medicine pts and their 1st admit would be the angio/plasty/stent and then what ever(most likely USA)--[[User:PStein|PStein]] 11:25, 22 December 2010 (CST)
+**The following are the guidelines for coding Angiograms (as discussed with Trish):
+-When a patient goes for an angiogram and is then admitted to ICU the Angiogram is part of the ICU Admit Diagnosis.
+-When a patient admitted in an ICU goes for an angiogram and returns to the same ICU the Angiogram is an ICU Acquired Complication.
+-When either of the above patients are transferred to the Medical ward '''DO NOT''' code the angiogram as part of the Medicine Admit Diagnosis. The data between continuous ICU and Medicine admissions can be linked; so there is no need to code the angiogram twice.
+--When a patient admitted in an ICU goes for an angiogram and does not return to ICU; but, goes directly to a Medicine ward post-angio the Angiogram is a part of the Medicine Admit Diagnosis.[[User:Mlaporte|Mlaporte]] 18:24, 18 January 2011 (CST)
 == to do before de-stubbing ==