Tachyarrythmias
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Atrial fibrillation and/or atrial flutter, Ventricular fibrillation, Supraventricular tachycardia, paroxysmalClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Cardiovascular (old) |
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Type: |
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| Main Diagnosis: | TACHYARRYTHMIAS |
| Sub Diagnosis: | *1 Ventricular tachycardia
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| Diagnosis Code: | 131-00 |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected
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Definition
- If requires defibrillation/cardioversion or Tx with
- continuous antiarrythmics infusion
- bolus Tx does not qualify
Discussion
- On Medicine wards we get many patients in rapid atrial fibrillation that require bolus treatments. By the code book definition they do not qualify for coding as atrial fibrillation because they are not getting continuous infusions. I think this definition is outdated. Are other data collectors coding unstable atrial fibrillation on Medical wards?GHall 15:55, 16 April 2009 (CDT)
- We are not trying to capture every patient who has had a rhythm disturbance and was given a few bolus's to rectify the problem. The population that we are tracking in this group is small because we only want to capture rhythm disturbances that require this more severe level of TX. --TOstryzniuk 17:20, 16 April 2009 (CDT)
- We have patients who are admitted to the high observation unit for EKG monitoring and treatment of rapid atrial fibrillation which traditionally in the past would be admitted to an intensive care unit.This is uncontrolled atrial fibrillation.GHall 18:43, 16 April 2009 (CDT)
- At the Vic we have patients who are admitted to the ward with EKG telemetry for uncontrolled symptomatic atrial fib treated with boluses this is their admitting diagnosis per physician. Should we not be coding this?SKiesman 09:15, 17 April 2009 (CDT)
- HSC old cardiology unit admits patients from ER due to AF, that require medical mangement and is their sole reason for admission(these patients do not follow the true definition of a tachyarrythmias)--FLindell 08:33, 20 April 2009 (CDT)
- At the Vic we have patients who are admitted to the ward with EKG telemetry for uncontrolled symptomatic atrial fib treated with boluses this is their admitting diagnosis per physician. Should we not be coding this?SKiesman 09:15, 17 April 2009 (CDT)
- We have patients who are admitted to the high observation unit for EKG monitoring and treatment of rapid atrial fibrillation which traditionally in the past would be admitted to an intensive care unit.This is uncontrolled atrial fibrillation.GHall 18:43, 16 April 2009 (CDT)
- We are not trying to capture every patient who has had a rhythm disturbance and was given a few bolus's to rectify the problem. The population that we are tracking in this group is small because we only want to capture rhythm disturbances that require this more severe level of TX. --TOstryzniuk 17:20, 16 April 2009 (CDT)