Angioplasty
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ICU coding tips for angioplasty
Community hospital (Oaks, Grace, Con, Vic)
If you go with a patient to HSC or STB for an angio/plasty and the patient does not return to your site because he is admitted to one of these centers, please do not code angio as your acquired DX. Only indicate angio in Labs and TISS item # 91 for procedure outside of ICU.
HSC or STB
those patients that are admitted from the cath lab post angio or plasty should have in their admit from box where the patient came from prior to going to the cath lab and then being admitted to your unit. In their admitting DX codes, you should record the codes for angio/pasty/stent if applicable. On the TISS form, you will record item # 96 if he is admitted as a post plasty only. Do not mark in item # 91 (procedure outside ICU) , your site did not have to go with patient for this procedure.
Angio Coding Process
sent out Oct 16.00 /update Nov 11.00
Community Hospitals
If an ICU nurse goes with a patient to HSC or STB for an angio/plasty and the patient does not return to your site because he is admitted to one of these centers, please DO NOT code angio/plasty in your acquired DX slots. You only need to indicate angio in Labs and TISS item # 91 for procedures outside of ICU.
If an ICU nurse goes with a patient to HSC or STB for an angio/plasty and the patient returns to your ICU, your acquired DX would have angio etc., indicate angio in Labs and TISS # 96 would be marked for a plasty.
If a patients goes to another center for a procedure and returns to your ICU after being away for some time, you must check with that centers data collector if indeed the patient was admitted to the ICU prior to or after their procedure.
If the transport team picks up you patient for an angio item # 91 should not be marked on TISS.
HSC or STB
Those patients that are admitted from the cath lab from your hospital ward, or ER, then to your ICU post angio or plasty should have in their admit from box where the patient came from prior to going to the cath lab.
In the admitting DX code slot you should recorded the codes for angio/plasty/stent if applicable.
On the TISS form, you will record item # 96 if he is admitted as a post plasty only.
Indicate angio in Labs.
DO NOT mark in item # 91 (procedure outside ICU), your ICU nurse did not have to go with the patient for this procedure.
Discussion - Failed Angio
- Hi I have a question I am seeing more pts coming back from an angioplasty and the doc states it has failed and was unsuccessful in opening the vessel. Do I code it under 764-1 failed/dissection/rupture or does that just pertain to those complications? Thanks Shirley
- If the angioplasty failed, 764-1 captures this.--CMarks 12:09, 21 December 2011 (CST)
- Once we go to the ICD 10 system we will likely not have this problem. There are many diagnosis that we miss with the structure that we presently have. We code failed angios in the same category as complications because there is no other option. As far as I know there has never been a request for this type of data but I think if a cardiologist wanted to have statistics on this, the heart cath lab would likely have some data as they have a computerized system. --LKolesar 08:07, 2012 March 6 (CST)