Isolation, infectious: Difference between revisions

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=== In the context of [[Colonized with organism (not infected)]] ===
=== In the context of [[Colonized with organism (not infected)]] ===
{{DA | The following two are inconsistent, one says to code Isolation as Admit the other as Acquired px. What should they be? }}
*This code could be either an Admit or Acquired procedure.
 
**If it qualifies for the rules of [[Admit Procedure]] then use that.  If not, use [[Acquired Procedure]].
*If a patient is placed on [[Isolation, infectious]] on arrival '''''only''''' for the reason of pre existing MRSA (or other colonization), then code [[Admit Diagnosis]] [[Colonized with organism (not infected)]] and code the isolation as an [[Admit Procedure]] (''admit'' because it's ''causally related'' to the admission as per [[Admit Procedure]])
 
*For patients who have MRSA in comorbs, and are admitted for other reasons, put [[Isolation, infectious]] in '''acquired''' CCI codes.


=== Do not use this code for isolation for Use of Cytotoxic Agents ===
=== Do not use this code for isolation for Use of Cytotoxic Agents ===

Revision as of 11:58, 2019 December 11

CCI Picklist
Procedure: Isolation, infectious
CCI Picklist code: 7.SC.70.SA
CCI Collection Mode: CCI collect first
Start Date: 2018-04-25
Stop Date:

This procedure is a part of CCI Collection via CCI Picklist.

Additional Info

Code as Acquired Procedure

This almost always needs to be coded as an Acquired Procedure. It's counter-intuitive, but review the documentation at Acquired Procedure/Admit Procedure and it should be clear why.

Definition

  • This is a procedure code for a patient who is on infection isolation precautions.
    • To qualify for this, the patient must himself/herself have a condition for which isolation is indicated. So, a group for which this code should NOT be used are patients who are put on isolation precautions PROPHYLACTICALLY, i.e. for infection present in somebody else on the ward. An example is when a group of ward patients get C. diff and in response everyone on that ward is put on isolation precautions. The patients on such prophylactic precautions would NOT get this code. However, if such a person then does get (in this example) C. diff, he/she would get this code as of the day he/she got the infection for which the isolation is being done.
  • It includes any/all of the following kinds of isolation protocols:
    • gloves only
    • gloves and gown
    • mask
    • negative pressure room use
    • reverse isolation
    • cohorting the patient with other patients with the same pathogen

In the context of Colonized with organism (not infected)

Do not use this code for isolation for Use of Cytotoxic Agents

  • This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.

Collecting "CCI collect first" items

Px Date for patients who move

See Px Date#Moves

Alternate CCIs to consider coding instead or in addition

Other procedure in Therapeutic Procedure:

Related ICD10 Codes

Data Integrity Checks (automatic list)

none found

Related Articles

Related articles:


CCI_Picklist CCI component 1 codes - what organ was something done to CCI component 2 codes - what was done