Check Isolation Px vs Isolation Dx
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{Data Integrity Check
Certain diagnoses are related to isolation. This cross check tests that Isolation-Task and isolation-requiring Dxs are present together. Some dxs should always lead to isolation, others would be a reasonable reason for isolation. The isolation task may be coded for any that allow for isolation, but must be coded for those that require it.
does this check make sense?
- Is it reasonable to check this? It only is if we expect that task and dx should always match, in which case, what is the point of collecting this? Or will this just lead to tons of false positives? Ttenbergen 17:19, 2017 April 26 (CDT)
check details and dx lists
- Are these just a coding aid or a first step toward a CCMDB Data Integrity Checks? Ttenbergen 17:39, 2014 October 2 (CDT)
- if this is for integrity checks then 99-22 and 99-24 we no longer isolate for these colonizations. Codes 84-48 and 85-48 are infections but we do not necessarily isolate for these, we would isolate if the wound/abscess grows an organism for which isolation is necessary. Lisa Kaita 13:05, 2017 April 25 (CDT)
- The idea is to implement a cross check in CCMDB.accdb to improve consistency. Do the lists below look right for that? I already moved the two codes you mentioned above, thanks! Ttenbergen 17:19, 2017 April 26 (CDT)
- if this is for integrity checks then 99-22 and 99-24 we no longer isolate for these colonizations. Codes 84-48 and 85-48 are infections but we do not necessarily isolate for these, we would isolate if the wound/abscess grows an organism for which isolation is necessary. Lisa Kaita 13:05, 2017 April 25 (CDT)
dx codes necessitating isolation
- MRSA Colonization (without Infection)
- Soft Tissue Abscess with MRSA (84-48) & Soft Tissue Infection (includes Cellulitis) with MRSA (85-48)
How about in ICD10?
dx codes allowing isolation
- MRSA Colonization (without Infection) is 99, but not sure about those subcodes...
- 99-22 ??
- 99-24 ??
How about in ICD10?
Implementation Status
- suspect this is not implemented right now, if we want it implemented it needs to go into Requested Changes. Ttenbergen 16:47, 2012 November 5 (EST)
Firmness
This would need to be a soft check because the isolation task should come from a task having been perfomed. If they isolated and there was no dx, or we don't code the dx, it should still be possible to enter that isolation happened.
CCI
When we move to CCI, Isolation-Task will be replaced by Isolation, infectious. }}