Combined ICD10 codes: Difference between revisions

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To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient viewer tab ICD10]] need to be grouped together.
To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient viewer tab ICD10]] need to be grouped together.


To group diagnoses together, use the same [[Dx Priority]] for all of them.  
To group diagnoses together, use the same [[Dx Priority]] for all of them.
 
 
{{ListICD10Category | categoryName = Iatrogenic}}


== Coding instructions ==
== Coding instructions ==
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*For some situations the multiple codes need to be '''''linked together''''' (we use the term "combined").  
*For some situations the multiple codes need to be '''''linked together''''' (we use the term "combined").  
*For other situations it's just a matter of ensuring that the multiple codes are all in the diagnosis list -- i.e. they don't need to be combined.
*For other situations it's just a matter of ensuring that the multiple codes are all in the diagnosis list -- i.e. they don't need to be combined.
*For some entities there is no single ICD10 code, and the ''only'' way to code the entity is to combine two codes.  An example is that to identify Retroperitoneal hemorrhage one must link two codes '''[[Hemorrhage, NOS]]''' and '''[[Retroperitoneal area, diagnostic imaging, abnormal]]'''.  So, alongside each of those is a message about this.   
*For some entities there is no single ICD10 code, and the ''only'' way to code the entity is to combine two codes.   
**An example is that to identify Retroperitoneal hemorrhage one must link two codes '''[[Hemorrhage, NOS]]''' and '''[[Retroperitoneal area, diagnostic imaging, abnormal]]'''.  So, alongside each of those is a message about this.   
**Another example is coding Hospital-acquired pneumonia.  To get this you combine '''[[Iatrogenic, complication of medical or surgical care NOS]]''' with the appropriate type of pneumonia code, e.g. '''[[Pneumonia, bacterial]]'''  or '''[[Pneumonia, fungal/yeast]]'''


=== Clinical Situation Plus it's Cause ===
=== Clinical Situation Plus it's Cause ===
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*For these codes, it is required that the injury be combined with the external mechanism of the injury:
*For these codes, it is required that the injury be combined with the external mechanism of the injury:
{{ListICD10Category | categoryName = Mechanism}}  
{{ListICD10Category | categoryName = Mechanism}}  
*Some, but not all fractures fall into this category of trauma/injury.  See: [[Coding fractures in ICD10]]
*In some cases, the mechanism is actually iatrogenic, see '''[[Iatrogenic codes in ICD10]]'''.  {{ListICD10Category | categoryName = Iatrogenic}}
*Some, but not all fractures fall into the category of trauma/injury.  See: [[Coding fractures in ICD10]]


=== Other co-codes ===
=== Other co-codes ===