Significant complications: Difference between revisions

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1.''' Central Line complication''' (requires transfusion or surgery)
1.''' Central Line complication''' (requires transfusion or surgery)
**86000 - '''[[Central Line Related Blood stream Infection (CLR-BSI)]]'''  (see [[UPL]] for subcode 1-95 - not all subcodes apply and we have no rules to exclude any)
*86000 - '''[[Central Line Related Blood stream Infection (CLR-BSI)]]'''  (see [[UPL]] for subcode 1-95 - not all subcodes apply and we have no rules to exclude any)
**98003  [[Pneumothorax 2nd to central line insertion | Pneumothorax 2nd to central line insertion]]   
*98003  [[Pneumothorax 2nd to central line insertion | Pneumothorax 2nd to central line insertion]]   
**98102  Hemothorax – 2nd to central line insertion
*98102  Hemothorax – 2nd to central line insertion
**98201  Significant bleed - 2nd to central line - Femoral Artery/vein
*98201  Significant bleed - 2nd to central line - Femoral Artery/vein
**98203  Significant bleed - 2nd to central line - Pulmonary Artery
*98203  Significant bleed - 2nd to central line - Pulmonary Artery
**98203  Significant bleed - 2nd to central line - subclavian arter/vein
*98203  Significant bleed - 2nd to central line - subclavian arter/vein
**98205  Significant bleed - tamponade 2nd to central line
*98205  Significant bleed - tamponade 2nd to central line
**98300  Stroke due to central line  
*98300  Stroke due to central line  
**98500  Ischemia 2nd to central line (swan ganz, IJ, Subclavian)
*98500  Ischemia 2nd to central line (swan ganz, IJ, Subclavian)
**98900  Loss or broken guidewire with central line insertion
*98900  Loss or broken guidewire with central line insertion
**99000  Arterial insertion of venous central line (malpositioning of PA or IJ into carotid artery or LV).  
*99000  Arterial insertion of venous central line (malpositioning of PA or IJ into carotid artery or LV).  


2. '''DVT''' '''[[Art/Ven Embolus/Thrombus]]''' -do you just want just lower extremity DVT or any other type?
2. '''DVT''' '''[[Art/Ven Embolus/Thrombus]]''' -do you just want just lower extremity DVT or any other type?
**13200  (code by itself is mixed bag of Arterial or venous embolus or Thrombus)
*13200  (code by itself is mixed bag of Arterial or venous embolus or Thrombus)
**13201  Femoral (lower extremity)
*13201  Femoral (lower extremity)
**13202  Popiteal (lower extremity)
*13202  Popiteal (lower extremity)
**13203  Subclavian (upper extremity/thorax-armpit, collar bone area)
*13203  Subclavian (upper extremity/thorax-armpit, collar bone area)
**13204  Superior mesenteric (abdomin)
*13204  Superior mesenteric (abdomin)
**13205  Post Operative (anywhere in body)
*13205  Post Operative (anywhere in body)
**13206  Internal Jugular (upper extremity/thorax –neck area)
*13206  Internal Jugular (upper extremity/thorax –neck area)
**13208  Axillary (upper extremity/thorax-armpit - collar bone area)
*13208  Axillary (upper extremity/thorax-armpit - collar bone area)
**13209  Innominate (upper extremity/thorax -)
*13209  Innominate (upper extremity/thorax -)
***13606 aortic – '''Excluded''' because this is generally a paradoxical embolization of DVT thrombus into the aorta. Our code is a mixed bag of arterial venous embolus or thrombus so don’t include for DVT.  
**13606 aortic – '''Excluded''' because this is generally a paradoxical embolization of DVT thrombus into the aorta. Our code is a mixed bag of arterial venous embolus or thrombus so don’t include for DVT.  


3. '''[[Ulcers - Decubitus only]]'''
3. '''[[Ulcers - Decubitus only]]'''
**94500  Decubitus ulcer only (used without subcode if stage unknown)
*94500  Decubitus ulcer only (used without subcode if stage unknown)
**94501  stage 1 surface reddening
*94501  stage 1 surface reddening
**94502  just under skin
*94502  just under skin
**94503  deep to muscle
*94503  deep to muscle
**94504  full layer to bone
*94504  full layer to bone


4. '''[[HAP-Hospital Acquired Pneumonia]]'''
4. '''[[HAP-Hospital Acquired Pneumonia]]'''
**3800  ([[UPL]] subcodes 1-95 (exclude subcode 59, see below))
*3800  ([[UPL]] subcodes 1-95 (exclude subcode 59, see below))
**3600  ([[UPL]] subcodes 1-95 (Pneumonia if not sure if hosp or community acquired, exclude subcode 59))   
*3600  ([[UPL]] subcodes 1-95 (Pneumonia if not sure if hosp or community acquired, exclude subcode 59))   


5. '''Aspiration Pneumonia''' '''[[Aspiration (early presentation, documented aspiration)]]'''
5. '''Aspiration Pneumonia''' '''[[Aspiration (early presentation, documented aspiration)]]'''
**3859  hospital acquired aspiration pneumonia
*3859  hospital acquired aspiration pneumonia
**  [[Pneumonia Etiology not clear | 3659]]  Pneumonia Etiology not clear (not sure where acquired)  (see discussion [[Pneumonia Etiology not clear | here]])
*  [[Pneumonia Etiology not clear | 3659]]  Pneumonia Etiology not clear (not sure where acquired)  (see discussion [[Pneumonia Etiology not clear | here]])


6.'''[[Pulmonary Embolus]]'''
6.'''[[Pulmonary Embolus]]'''
**1300 Pulmonary Embolus (used without subcode if reason is unknown)
*1300 Pulmonary Embolus (used without subcode if reason is unknown)
**1301 Pulmonary Embolus- Septic
*1301 Pulmonary Embolus- Septic
**1302 Thrombic
*1302 Thrombic
**1303 Post Operative
*1303 Post Operative
**1304 Air
*1304 Air
**1305 Post Trauma-fat emboli – not included for medicine
*1305 Post Trauma-fat emboli – not included for medicine
**1390 other reason (same as using 1300 when reason is unknown)
*1390 other reason (same as using 1300 when reason is unknown)


7.''' [[:Category:Arrest | Cardiac Arrest]]'''  
7.''' [[:Category:Arrest | Cardiac Arrest]]'''