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|APACHE Como Component:||none|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
See Guideline for coding organ donation after death for additional collection info.
- A brain-dead individual has no clinical evidence of brain function upon physical examination. This includes:
- no response to pain
- no brainstem reflexes
- no respiratory efforts (via apnea test)
- Brainstem reflexes tested as part of the brain death protocol are: pupillary, oculocephalic (Dolls eyes), oculovestibular (cold calorics), and corneal.
- Confirmatory testing (e.g. brain bloodflow) is not required, but is sometimes used.
- The declaration of brain death must be done by two independent physicians.
- For those patients who are declared brain dead, and do not become actual or potential organ donors, use the time of brain death as the Transfer Ready DtTm field, and the time of cardiac death as the Dispo DtTm.
Alternate ICD10s to consider coding instead or in addition
- Organ donor (organ/tissue donation by the donor)
- Brain injury, diffuse (TBI), injury/trauma
- Brain injury, focal (TBI), injury/trauma
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (SMW)
|Query check ICD10 dx implying death must have appropriate dispo||CCMDB.accdb||implemented|
|Check dx implying death across encounters||Centralized data front end.accdb||ready to implement|