Brain death: Difference between revisions
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Ttenbergen (talk | contribs) (Should time of brain death really be used as transfer ready dttm? Probably not...) |
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**Confirmatory testing (e.g. brain bloodflow) is not required, but is sometimes used. | **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. | *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 | {{DiscussTask| | ||
*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]], and the time of cardiac death as the [[Dispo DtTm]]. (Michelle) | |||
** We use [[Transfer Ready DtTm]] to calculate [[Transfer Delay]], which I believe is understood to be avoidable and something to decrease. In this case, the time between brain death and cardiac death is not avoidable, right? So, is the use as [[Transfer Ready DtTm]] consistent with how we want to use our data? Actually, is it reasonable at all? Ttenbergen 10:16, 2020 September 23 (CDT) | |||
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== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == |
Revision as of 10:16, 2020 September 23
ICD10 Diagnosis | |
Dx: | Brain death |
ICD10 code: | G93.81 |
Pre-ICD10 counterpart: | Braindead |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | none |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
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.
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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 (automatic list)
App | Status | |
---|---|---|
Query check ICD10 dx implying death must have appropriate dispo | CCMDB.accdb | implemented |
Query NDC dx implying death across encounters | Centralized data front end.accdb | implemented |
Related Articles
Show all ICD10 Subcategories