List of Diagnoses we didn't code in old schema

In addition to this list there may be further diagnoses in the Category:Diagnoses not coded.

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Surgeries or procedures not currently coded

• Epicardial wires placed via mini-thorocotomy for improving contractility in Dilated Cardiomyopathy patients.
  • use medical reason for procedure ie congestive heart failure or specific arrhythmia)
• Repair of Patent Ductus Arteriosus and foramen ovale.
  • use ASD repair for foramen ovale repair 75801 Cardiac Septal Repair - atrial
• ERCP
  • use Any GI scope)
• some Stent insertions for which we don't have a specific code It would be nice to have a category for stents and subcodes of vascular, renal and GI.
• Angio for embolization (renal and GI)
  • use vascular embolization
• removal and insertion of PD catheter (not coded)
• ileostomy
  • use Other GI OR
• A general vascular endarterectomy code (we just have carotid). Endarterectomies can be done on other vessels (currently not coded).
• Bentall procedure
• We have a mixed bag of specific vascular graft procedures in the database (iliac femoral; fem pop; hepatorenal bypass graft; aorto-iliac) It would be much easier to just have a general vascular graft option because many grafts are not included in the options that are given.
  • use AVR Repair/Replace or TAA Repair)
• TAVI (trans catheter aortic valve implantation) (done in cath lab)
  • use AVR Repair/Replace
• TEVAR (trans endovascular aneurysm repair)
  • use regular aneurysm repair (AAA Repair or TAA Repair)
• Bilroth I &II (http://en.wikipedia.org/wiki/Billroth_II)
  • use Bowel Resection or other specific interventions done in surgical procedure
• Roux-en-Y procedure (a type of gastric bypass surgery)
  • use Other GI OR
• VAC insertions and VAC changes (currently not coded and this procedure is a common surgical procedure.)
• lumbar punctures and lumbar drains
  • (could use 848-90 which is other OR Procedures subcode other)
• Gamma Knife
• EBUS (Endobronchial Ultrasound) - we do not track these
• Tonsillectomy (code as airway concerns if applicable)
• Surgery for closures of chest or abdomen if had to be left open for various reasons. (not currently coded)

Medical Diagnoses not currently coded

Some suggested options given for coding; some items have no suggestion as we are not currently interested in coding them at this time.

• Ataxia: we have Friedreich's Ataxia in our database. This type is a rare genetic condition similiar to Muscular Dystrophy. I would like to see a generic Ataxia instead.--LKolesar 13:30, 2016 February 12 (CST)
• Takotsubo Cardiomyopathy. Use Cardiomyopathy other.
• Protein C deficiency (tendency to clot ie PE, DVT, etc.)
• Dehydration: Use Other Metabolic problems see Gastroenteritis
• Perforated Duodenal Ulcer
  • use as applicable:
    • Perforation-Bowel Nontraumatic
    • Closure of Perforated Bowel
• Mallory Weiss Tear
  • use other UGIB Upper GI Bleed
• Shock Liver
  • use Nonalcoholic Liver Disease - Ischemic 40811 Also use this for liver infarct as we do not have a code for that either.
• Liver congestion related to R Ventricular failure
  • use Nonalcoholic Liver Disease - Ischemic 40811
• New diagnosis of diabetes mellitus(not coded)
• Coronary artery stent thrombosis or coronary artery thrombosis
  • use Art/Ven Embolus/Thrombus Note: coronary artery thrombosis is the usual mechanism for an MI, so if you are coding MI, this covers this. Stent thrombosis is not currently coded.
• Radiation enteritis (not currently coded)
• Renal infarct (if related to Renal Artery Stenosis
• Scabies
  • use Soft Tissue Infection (includes Cellulitis), OTHER-Parasite)
• Hepatopulmonary syndrome - use each individual problem eg

• • Fulminant Hepatic Failure)
  • Non Fulminant Hepatic Failure
  • Congestive Heart Failure
  • ARDS
• Distributive shock 2nd to surgery, drugs, inflammation, etc.
  • use hypotension NYD
  • Template:Discussion if you mean Hypotension NYD (not due to shock or post op) then the name of the article seems inconsistent with this instruction]]. We were told to use this code even though it makes no sense. It would be nice to have a distributive shock code so we would not have this contradictory coding going on. --LKolesar 10:39, 2014 December 12 (CST)
• pneumobilia--CMarks 10:16, 2015 January 27 (CST)
• Right ventricular dysfunction
  • can use Pulmonary Hypertension if this is also true; or use Congestive Heart Failure - other)
• Type 2 angina or ACS - see ACS for coding info
• Ascites (not currently coded)
• Cardiorenal syndrome
  • code each issue separately ie. ARF and Cardiogenic Shock
• Coagulopathy for reasons other than liver failure or transfusion.
  • use other haematologic problems)
• Hematuria (not coded, code cause)
• Fibromyalgia
  • use Other Collagen Vascular Diseases)
• polypharmacy
  • Accidental toxicity-other drugs
• Sexual assault (could be put under trauma but not currently coded)
• Foreign body either as a condition or as removal of. (could be put under trauma, but not currently coded)
• VAD failure and presence of a VAD (if procedure not done on this admission) - Not currently coded.
• infectious myocarditis
  • Use Myocarditis and if blood has organism, use septicemia with the organism.
• Comorbid: smoker (not used in Database at this time)
• Infectious colitis: no code in infection section for this. (other than pseudomembranous colitis and Gastroenteritis)
• PRES (posterior reversible encephalopathic syndrome)
• Colonovaginal fistula. Suggest to use small or large bowel fistula. (We have the following fistula listed in the DB: ileocolonic; small or large bowel fistula; enterocutaneous fistula; esophageal fistula.)
• polymyalgia rheumatica (PMR), use Other Collagen Vascular Diseases
• Raynauds
• lupus nephritis (we have lupus pneumonitis and lupus cerebritis but not lupus nephritis). Use SLE and a renal code like renal insufficiency if it meets the definition we have.
• IgG deficiency and other hematological problems as comorbids
• Paget's Disease of bone: chronic disorder that can result in enlarged or misshapen bones caused by excessive breakdown and formation of bone followed by bone remodeling resulting in pain, misshapen bones, fractures, and arthritis in joints near affected bones; rarely it develops into a primary bone cancer known as Paget's sarcoma
• ischemic colitis. Suggest to use Ischemic Bowel and Inflammatory Bowel Disease: other.
• leukopenia (only have neutropenia) Use Neutropenia if this is true otherwise sometimes Pancytopenia covers this if other blood components are also low.
• asbestos related lung disease (can be mesothelioma) Use Pneumoconiosis
• sternal dehiscence (we do not code this but do code Rewire Sternum to fix the problem.
• Serotonin Syndrome--CMarks 09:13, 2016 January 22 (CST)
  • Template:Discussion what do you code instead? Ttenbergen 15:58, 2016 January 25 (CST)
    • If cause is drug overdose, use poisoning for that particular drug.--CMarks 07:45, 2016 January 26 (CST)
• Endometrial Cancer--CMarks 09:26, 2016 January 22 (CST)
  • Template:Discussion what do you code instead? Ttenbergen 15:58, 2016 January 25 (CST)
    • Use uterine cancer.--CMarks 07:42, 2016 January 26 (CST)
• Sickle Cell anemia-a chronic significant co-morbid..unable to code as a comorbid resulting in a "No Comorbid" choice yet cause for freq admissions re management of same-could we please add?--Llemoine 13:53, 2016 February 18 (CST)

Pathogens

• Cryptosporidium - use OTHER-Parasite when applicable