High dose chemotherapy as primary admit

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This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

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edit dx infobox
Category/Organ
System:
Category: Other Medical (old)

Type:

Medical Problem

Main Diagnosis: High Dose Chemotherapy-as primary admit
Sub Diagnosis: HIGH DOSE CHEMOTHERAPY-as primary admit
Diagnosis Code: 86900 - High Dose Chemotherapy-as primary admit
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:
Start Date: Sep 27 2004

High Dose Chemotherapy-as primary admit should be coded only if it is the Primary Admit Diagnosis.

It should not be coded for patients who simply happen to receive chemo during their stay.


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This page is listed as an exception in Definition of a Medicine Service admission so I wanted to make sure we include that instruction with the new codes. However, what _is_ the new code for this? Found nothing suitable in CCI Picklist, CCI component 2 codes - what was done, and ICD10 Diagnosis List only has Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect which doesn't seem a real match either. In general we would only code the cancer now, right, but this is a bit of a special case, so do we want to treat it separately?

  • AG REPLY -- we don't need this at all and there's no way to code it specifically in ICD10 -- except that such an admission would have the Dx code of the cancer being treated, and the CCI code for the chemotherapy
    • emailed Julie and Trish to make sure they are comfortable with this.
      • Trish, if you are fine with how this is or isn't addressed in ICD10 going fwd, pls remove the tag
  • SMW


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