Query check CCI ICD10 Dialysis no Dx: Difference between revisions
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Ttenbergen (talk | contribs) moved Laura's comment to the actual article where it is relevant. some more cleanup, added links to dxs; NEED HELP WITH REALITY CHECK |
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[[TISS28]] | If there is a [[TISS28]] entry for Hemodialysis there should be a corresponding Dx. | ||
*32 Intermittent Hemodialysis (even if pt goes to dialysis unit) | *32 Intermittent Hemodialysis (even if pt goes to dialysis unit) | ||
*33 CRRT | *33 CRRT | ||
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== CRF/ARF vs [[TISS28]] items 32, 33, 34 == | == CRF/ARF vs [[TISS28]] items 32, 33, 34 == | ||
=== | === Has ARF/CRF but not Dialysis === | ||
If meets following the entry is an error: | |||
*ICU patient | * ICU patient | ||
* | * LOS>3 | ||
* | * at least one of dxs ([ARF (Diagnosis)]](350), [[CRF - Chronic Renal Failure]](351), [[Acute Tubular Necrosis (ATN)]](352), [[Nephrotic Syndrome]](355)) | ||
* | * '''doesn't have''' one of (T33/34/35) in TISS28 | ||
=== TISS implies dx === | === TISS implies dx === | ||
If meets following the entry is an error: | |||
*ICU patient | * ICU patient | ||
* | * LOS>3 | ||
* | * at least one of (T33/34/35) in TISS28 | ||
* | * '''doesn't have''' one of dxs ([ARF (Diagnosis)]](350), [[CRF - Chronic Renal Failure]](351), [[Acute Tubular Necrosis (ATN)]](352), [[Nephrotic Syndrome]](355), [[Hepatorenal Syndrome]](356), [[Pt Monitored while on Dialysis]] (398), ( a bunch of toxicities? eg [[TCA (Tricyclic)]] 450-499), [[Hyperkalemia K Greater Than 6.5]] (327), [[Rhabdomyolysis (Myoglobinemia)]] (357)) | ||
== Reality check == | == Reality check == | ||
{{discussion}} | |||
* Collectors can you see a scenario where this would not be an error? If not, this could be added to [[Change Priorities]]. Ttenbergen 20:17, 2014 April 30 (CDT){{Potential Change}} | * Collectors can you see a scenario where this would not be an error? If not, this could be added to [[Change Priorities]]. Ttenbergen 20:17, 2014 April 30 (CDT){{Potential Change}} | ||
**codes 350 through 355 all pertain to ARF, however the other remaining codes are not correct, as they do not necessarily mean that dialysis is started [[User:Lkaita|Lisa Kaita]] 12:03, 2017 April 25 (CDT) | **codes 350 through 355 all pertain to ARF, however the other remaining codes are not correct, as they do not necessarily mean that dialysis is started [[User:Lkaita|Lisa Kaita]] 12:03, 2017 April 25 (CDT) | ||
*** So there are codes that ''might'' have dialysis, and codes that ''would'' have dialysis, right? I updated the two listings above. If pt has a dialysis-mandatory dx, must have TISS. If a pt has TISS, must have a dialysis-optional dx. Does the list of dxs in each case look right now? And, can you think of scenarios where these errors would lead to false positives? Ttenbergen 17:12, 2017 April 26 (CDT) | |||
* | |||
== Short stay patients, incl community hospitals== | == Short stay patients, incl community hospitals== | ||
Revision as of 17:12, 26 April 2017
If there is a TISS28 entry for Hemodialysis there should be a corresponding Dx.
- 32 Intermittent Hemodialysis (even if pt goes to dialysis unit)
- 33 CRRT
- 34 Peritoneal Dialysis
CRF/ARF vs TISS28 items 32, 33, 34
Has ARF/CRF but not Dialysis
If meets following the entry is an error:
- ICU patient
- LOS>3
- at least one of dxs ([ARF (Diagnosis)]](350), CRF - Chronic Renal Failure(351), Acute Tubular Necrosis (ATN)(352), Nephrotic Syndrome(355))
- doesn't have one of (T33/34/35) in TISS28
TISS implies dx
If meets following the entry is an error:
- ICU patient
- LOS>3
- at least one of (T33/34/35) in TISS28
- doesn't have one of dxs ([ARF (Diagnosis)]](350), CRF - Chronic Renal Failure(351), Acute Tubular Necrosis (ATN)(352), Nephrotic Syndrome(355), Hepatorenal Syndrome(356), Pt Monitored while on Dialysis (398), ( a bunch of toxicities? eg TCA (Tricyclic) 450-499), Hyperkalemia K Greater Than 6.5 (327), Rhabdomyolysis (Myoglobinemia) (357))
Reality check
- Collectors can you see a scenario where this would not be an error? If not, this could be added to Change Priorities. Ttenbergen 20:17, 2014 April 30 (CDT)Template:Potential Change
- codes 350 through 355 all pertain to ARF, however the other remaining codes are not correct, as they do not necessarily mean that dialysis is started Lisa Kaita 12:03, 2017 April 25 (CDT)
- So there are codes that might have dialysis, and codes that would have dialysis, right? I updated the two listings above. If pt has a dialysis-mandatory dx, must have TISS. If a pt has TISS, must have a dialysis-optional dx. Does the list of dxs in each case look right now? And, can you think of scenarios where these errors would lead to false positives? Ttenbergen 17:12, 2017 April 26 (CDT)
- codes 350 through 355 all pertain to ARF, however the other remaining codes are not correct, as they do not necessarily mean that dialysis is started Lisa Kaita 12:03, 2017 April 25 (CDT)
Short stay patients, incl community hospitals
CRF/ARF patients may not receive dialysis if they are only there for a short time. That led to false=positives for the check, especially in community hospitals, so the restriction of "LOS>3" was added.