When to code a patient as post-op
From an email from May 2007:
Question: (from HSC data colelctors)
"If a patient comes to medicine after having say a pace maker or some other surgical procedure how many days post-op do you put the procedure in your admit diagnosis"
Answer: (from an email from Trish)
"If the recent surgery is relevant to reason for admission then include it in your admit dx as the last code.
If reason for admission to your ward has nothing to do with recent surgery they don't include.
Within 3-4 days is good enough"
Discussion
- If a date is to be used as a cut-off, it should be a distinct date rather than a range. Which should it be? Ttenbergen 16:39, 16 May 2008 (CDT)
- The statement to only include it if relevant doesn't seem to require a date at all. Should a date even be part of the guideline? Ttenbergen 16:39, 16 May 2008 (CDT)
to do before de-stubbing
- once the discussion concludes this should be pulled into collection guidelines framework
- I had a pt who had an ORIF done and was transfered to MICU in cardiogenic shock 2 days post op. 3 days post op she has a CVA. Do I subcode the CVA as postop?MWaschuk 14:22, 17 June 2008 (CDT)