Organizational Suggestions

Organizational suggestions for Changes for Surgical and Procedure codes

• Mastectomy is under GI/GU procedures: wrong place. Should be under “other procedures”
• Under post-op “other” section: 848- 1, 2 and 3 are all plastics procedures & should be put in the post-op plastic surgery section.

Organizational suggestions for Medicine codes

• Poisoning: 499-17: Baclofen OD should not say iatrogenic

Organizational suggestions for Comorbids

• Neuro: quadriplegia : should have for any reason not just post polio or post trauma

Missing many serious neuromuscular diseases like spina bifida, Riley Day, Huntington’s chorea. Suggest putting “any neuromuscular disease” in comorbids to cover all possibilities.

• Quadraparesis post-op: Why just post op? and what about hemiparesis or any paresis for any reason?
• Other problems section: schizophrenia: could we not put any psychiatric condition

eg. Bipolar

== Value Limits

Suggested re-categorizations for “other medical problems” section in code book

• • 850: should be in collagen section
  • 851: should be in post –op other
  • 852: should be in poisoning section
  • 868: should be in vascular section (type of vasculitis)
  • 871: suggested to put in collagen section
  • 873: should be in collagen section
  • 876, 877, 878 & 880should be in genitourinary system
  • 879: should be in hematology section
  • 883 and 884: should be in hematology
  • 886: noonans is a congenital heart defect and also short stature: suggest cardiovascular section
  • 890: should be in GI section
  • 896: potts disease: extrapulmonary TB in bones and joints could put in collagen section
  • 898: should be under cardiovascular
  • 901: should be under endocrine, metabolic

Also suggest separate GI/GU section.

Labs

Is it still necessary to still count all these labs? Who wants this data? Perhaps the list should be modified?

Pharmacy

If this data is used should be expanded to include more drugs and made more relevant.

--LKolesar 15:51, 16 June 2008 (CDT)