Isolation, infectious: Difference between revisions
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* In [[BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive)]] and | * In [[BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive)]] and {{TISS w Nr|Non-invasive CPAP or BIPAP (TISS Item)}}, when bipap and cpap are mentioned, Optiflow is excluded explicitly. Should it be included here? [[User:Ttenbergen|Ttenbergen]] 14:07, 2022 February 8 (CST) | ||
** not sure what you mean by this, optiflow is included under TISS | ** not sure what you mean by this, optiflow is included under {{TISS w Nr|Supp O2 through any device, delivered via nose, mouth, ETT or trach (TISS Item)}} , we do not capture optiflow on the wards as a CCI, the only item captured when optiflow is used on the wards would be the isolation CCI [[User:Lkaita|Lisa Kaita]] 08:05, 2022 April 28 (CDT) | ||
*** All I meant is that different items are included on the lists, sometimes Optiflow is on there and other times it's not. I don't know what it is, or why it is sometimes included and not other times, there may be good reasons, I just wanted to make sure it's not an inconsistency that has snuck in over time as things were updated in one place but not another. If you understand my question, but think all is clear and right, then please feel free to take out the question. Maybe put in the edit summary that you considered the question and determined all is right - that way if I see the edit later I know the question wasn't just removed accidentally. [[User:Ttenbergen|Ttenbergen]] 10:47, 2022 May 4 (CDT) | |||
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Revision as of 10:47, 2022 May 4
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
- While this can be an Admit Procedure or an Acquired Procedure, it usually will 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.
- It can, on occasion be coded as both an Admit Procedure and (later in the admission) as a separate Acquired Procedure.
Definition
- This is a procedure code for a patient who is on infection isolation precautions.
- The person does NOT have to turn out to have the condition for which isolation is indicated.
- Thus use it if a patient is put on isolation for TB, or COVID-19 even if they turn out NOT to have those infections.
- Can also use it for somebody put on isolation prophylactically, as is the case with reverse isolation.
- It includes any/all of the following kinds of isolation protocols:
- gloves only
- gloves and gown
- mask
- negative pressure room use
- reverse isolation -- i.e. a person at risk for getting infection (e.g. neutropenic after chemotherapy for cancer) is isolated to try and avoid them being exposed
- cohorting the patient with other patients with the same pathogen
- use for those AGMP's that are continuous e.g. BIPAP, CPAP, Optiflow . Do not use for one time AGMP's where there is no other indication for isolation. e.g intubation, bronchoscopy, CPR, nebulizer medications
|
In the context of Colonized with organism (not infected)
- 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.
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.
Related Code
This code is similar to Patient is on isolation (TISS Item) but collected as a different CCI Collection Mode, so we decided to keep both.
Collecting "CCI collect first" items
- "CCI collect first" items are entered the first time they happen
- Px Date
- if an Acquired Procedure, enter them with the Px Date of the first time they happen
- if an Admit Procedure leave the date blank and just enter the procedure
- Px Count is always 1 for this collection mode
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
Data use
Related Articles
CCI_Picklist | CCI component 1 codes - what organ was something done to | CCI component 2 codes - what was done |