Template:ICD10 Guideline Como vs Admit
This template is used in Comorbid Diagnosis and Admit Diagnosis to give consistent instructions when to use either or neither.
To use:
{{ICD10 Guideline Como vs Admit}}
When to use Comorbid Diagnosis vs Admit Diagnosis or neither
When not to code a dx at all
- Dx was present in the past but that problem is resolved AND does not fit into one of the Category: Past medical history codes
- To be clear on this -- do NOT code past problems that are fully resolved unless they are one of the Category: Past medical history codes
Regular comorbid rules exception: Strokes (of any sort, ischemic or hemorrhagic) -- code even resolved strokes with no current sequelae as comorbid diagnoses. If a patient has a past history of stroke, use the regular stroke codes to identify this, even if the patient does not have any residual deficits we will now capture ANY past history of stroke. This is contrary to the usual rules about Comorbid_Diagnosis#When_not_to_code_a_dx_at_all.
Example: |
Some diagnoses can/should be coded as BOTH Admit Diagnosis and Comorbid Diagnosis
If a dx is chronic but also actively treated during this admission, code it as both Admit Diagnosis and Comorbid Diagnosis.
Example: |
Recurrent conditions
- Do not code a recurrent condition that is NOT currently present -- if currently active, include as Admit Diagnosis, otherwise don't code it
Example: |
- Do code conditions that by nature have intermittent rather than continuous symptoms, but where the underlying condition doesn't go away.
- Ex2: Asthma, without acute exacerbation -- this 'is a chronic disease whose nature is intermittent symptoms, but in between those symptoms the person still has asthma.}}
Past medical history
Past medical history codes
Past medical history codes should only be captured as Comorbid Diagnoses that represent previous procedures or medical situations. Their names usually follow the pattern "Past history of X" or "X, has one". See Category:Past medical history for a list.
Past medical history codes: |
Controlling Dx Type for ICD10 codes
This wiki page talks about which ICD10 codes are allowed to be Comorbid Diagnosis vs. Admit Diagnosis vs. Acquired Diagnosis Dx Type. See Controlling Dx Type for ICD10 codes for a discussion about cross-checks for these.
Legacy - did not use to code Comorbid Diagnoses only discovered during this admission
see how this used to be coded... |