ECMO: Difference between revisions

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→Additional Data Request: Julie, any concerns with this?
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There is a request from Dr. Manji to add a subdivision that says veno-artetial (VA) ECMO and veno-venous (VV) ECMO. -[[User:TOstryzniuk|Trish Ostryzniuk]] 19:25, 2014 December 8 (CST)
There is a request from Dr. Manji to add a subdivision that says veno-artetial (VA) ECMO and veno-venous (VV) ECMO. -[[User:TOstryzniuk|Trish Ostryzniuk]] 19:25, 2014 December 8 (CST)


We discussed this at the task meeting today. Determined that it would be easy to implement input and storage for the data (use a new code for both and retire the old one). Need to confirm following before implementation:
We determined that it would be easy to implement input and storage for the data (use a new code for both and retire the old one).  


* Laura: would this be collectable? IE. is the information to make the determination whethcer ECMO was VV or VA always straightforward from the record, even without being able to ask for confirmation? If so, we will implement. Ttenbergen 14:15, 2015 July 9 (CDT)
We also confirmed that it would be collectable, ie it would always be possible to find out what kind of ECMO it was. ("ICMS at STB only keeps VV ecmo patients.  If a patient has AV ecmo inserted then they are readily transported to the Cardiac ICU.")
**ICMS at STB only keeps VV ecmo patients.  If a patient has AV ecmo inserted then they are readily transported to the Cardiac ICU. I would be able to differentiate these. It is collectable, how do you want us to document this?--[[User:LKolesar|LKolesar]] 07:59, 2015 July 20 (CDT)
 
*** Let's add two different DX code in the same "other" grouping to make clear that the old code was undifferentiated, and to keep their code numbers grouped together.:
=== Coding ===
**** 76342 - ECMO VV
Let's add two different DX codes in the same "other" grouping.  
**** 76343 - ECMO VA    Ttenbergen 15:33, 2015 July 20 (CDT)
* 76342 - ECMO Veno-venous
***** Task meeting had decided that if collectable this should just be implemented, no need to take back to meeting. Is there something I am missing? Ttenbergen 12:27, 2015 July 22 (CDT) {{discussion}}
* 76343 - ECMO Veno-arterial 
******Right now ecmo is 76339.  should we also enter this code along with the specific ecmo or is this code going to be removed? Julie would need to somehow ensure that all the ecmos are captured.--[[User:LKolesar|LKolesar]] 14:25, 2015 July 22 (CDT)
These numbers would keep the old and new code numbers grouped close together. The old 76339 would be made unavailable for new collection.
 
Existing ECMO dxs would remain as 76339 because the old code was undifferentiated, and we would not know which it was.  
 
{{discussion}}
* Julie, any concerns with this? Ttenbergen 09:33, 2015 July 23 (CDT)


[[Category:Other CV Procedures]]
[[Category:Other CV Procedures]]

Revision as of 08:33, 23 July 2015

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

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edit dx infobox
Category/Organ
System: 		Category: Cardio-Vasc OR (old)

Type:

Medical Problem

Main Diagnosis: Other CV Procedures
Sub Diagnosis: ECMO
Diagnosis Code: 76339
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program:
Status:
Start Date: February 11, 2008

Extracorporeal membrane oxygenation - https://secure.wikimedia.org/wikipedia/en/wiki/ECMO

Additional Data Request

There is a request from Dr. Manji to add a subdivision that says veno-artetial (VA) ECMO and veno-venous (VV) ECMO. -Trish Ostryzniuk 19:25, 2014 December 8 (CST)

We determined that it would be easy to implement input and storage for the data (use a new code for both and retire the old one).

We also confirmed that it would be collectable, ie it would always be possible to find out what kind of ECMO it was. ("ICMS at STB only keeps VV ecmo patients. If a patient has AV ecmo inserted then they are readily transported to the Cardiac ICU.")

Coding

Let's add two different DX codes in the same "other" grouping.

  • 76342 - ECMO Veno-venous
  • 76343 - ECMO Veno-arterial

These numbers would keep the old and new code numbers grouped close together. The old 76339 would be made unavailable for new collection.

Existing ECMO dxs would remain as 76339 because the old code was undifferentiated, and we would not know which it was.

Template:Discussion

  • Julie, any concerns with this? Ttenbergen 09:33, 2015 July 23 (CDT)
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