Combined ICD10 codes

To code some diagnoses as part of ICD10 collection, several lines of entries in the Patient viewer tab ICD10 need to be grouped together.

To group diagnoses together, use the same Dx Priority for all of them.

Coding instructions

• There are numerous situations in which multiple codes need to be listed in order to accurately reflect the what is going on medically.
• For some situations it's just a matter of ensuring that the multiple codes are all listed.
• For other situations the multiple codes should be linked together (combined).

Malignancy with Metastasis

• Here, code BOTH the primary site and the location(s) of mets -- and the need to be combined because the codes for mets don't specify the primary site, only the site of the mets.
• There are codes for mets to the following places: Lymph nodes, Lung, Pleura, Respiratory system NOS, Peritoneum, Liver or biliary system, Gastrointestinal system NOS, Urinary system NOS, Brain or meninges, Bone or bone marrow, Adrenal gland, Site NOS.
  • The names of the codes for these metastatic sites are organized as: "SITE, metastatic malignancy to it", e.g:

Template:Combined dx metastasis primary

Fractures

see also Coding fractures in ICD10 Template:Discussion not yet integrated...

Other co-codes?

Template:Discussion Are there others? What are they?

Transition notes

Yes, this different from how we used to use dx priorities where they had to be unique.

Data

The records are combined by same L_ICD10.Dx Priority.