Cardiac arrest: Difference between revisions
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{{ICD10 dx | |||
|ICD10 Code=I46.9 | |||
}} | |||
{{ICD10 category|Cardiovascular}} | |||
{{ICD10 category|Arrhythmia}} | |||
{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle = Witnessed Cardiac Arrest; Unwitnessed Cardiac Arrest | | OldDxArticle = Witnessed Cardiac Arrest; Unwitnessed Cardiac Arrest | ||
| CurrentStatus = needs review | | CurrentStatus = needs review | ||
}} | }} | ||
{{Discuss| who=Allan| 1 | |||
{{Discuss| who=Allan| Como Admit Acquired Primary Limits 1/ Dx grouping - this is part of both of those discussion | |||
* Should we be coding cardiac arrest as a comorb if they have a past history of cardiac arrest? Or is it considered resolved? Some of us are coding it as a comorb and some of us aren't. Thanks - Brynn | * Should we be coding cardiac arrest as a comorb if they have a past history of cardiac arrest? Or is it considered resolved? Some of us are coding it as a comorb and some of us aren't. Thanks - Brynn | ||
** I think [[Comorbid_Diagnosis#When_not_to_code_a_dx_at_all]] answers this, but you say some people code it differently. Could someone who codes this as a comorbid explain why they code it? I want to flag this for my meeting with Allan to address collector questions, and I think we will need to know what the reasoning is. Ttenbergen 09:30, 2020 August 26 (CDT) | ** I think [[Comorbid_Diagnosis#When_not_to_code_a_dx_at_all]] answers this, but you say some people code it differently. Could someone who codes this as a comorbid explain why they code it? I want to flag this for my meeting with Allan to address collector questions, and I think we will need to know what the reasoning is. Ttenbergen 09:30, 2020 August 26 (CDT) | ||
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--[[User:Mdamian|Mailah Damian]] 13:08, 2020 September 4 (CDT) | --[[User:Mdamian|Mailah Damian]] 13:08, 2020 September 4 (CDT) | ||
*AG REPLY --- cardiac arrest is a manifestation of a disease (examples include arrythmias, coronary artery disease, acute MI, etc). Thus it should NOT be coded as a comorbid disorder | *AG REPLY --- cardiac arrest is a manifestation of a disease (examples include arrythmias, coronary artery disease, acute MI, etc). Thus it should NOT be coded as a comorbid disorder | ||
** TT note: See [[Controlling Dx Type for ICD10 codes]] - we can instruct not to code this specific code as a comorbid, but the problem is likely more widespread and should be addressed that way | |||
}} | }} | ||
== Additional Info == | == Additional Info == |
Revision as of 14:54, 2021 January 12
ICD10 Diagnosis | |
Dx: | Cardiac arrest |
ICD10 code: | I46.9 |
Pre-ICD10 counterpart: | Unwitnessed Cardiac Arrest, Witnessed Cardiac Arrest |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | 2019-0: Cardiac Arrest |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Como Admit Acquired Primary Limits 1/ Dx grouping - this is part of both of those discussion
--Mailah Damian 13:08, 2020 September 4 (CDT)
|
Additional Info
- Code when
- a non-perfusing rhythm occurs and
- the patient is given BCLS or ACLS (i.e. receives CPR of some sort) or receives defibrillation or cardioversion
- Thus do not code this if no treatment is given for the arrest -- this is different than our usual rule to code diagnoses even if no treatment is given, and the reason is that EVERY death at some point includes the heart stopping (cardiac arrest) and we would therefore be using this code for every death, which we do not want to do.
- Combine this code with the INITIAL rhythm observed during the code, which may include:
- Ventricular fibrillation
- Ventricular tachycardia
- Asystole
- Pulseless Electrical Activity (PEA) -- also known as electromechanical dissociation
- Could also be a supraventricular arrythmia or high degree of heart block
- Also code Targeted Temperature Management (TTM) if applicable.
- Do NOT code this as a comorbid condition.
Alternate ICD10s to consider coding instead or in addition
Arrhythmia codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks
Related Articles
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