Preparatory care (incl preop optimization): Difference between revisions
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== Additional Info == | == Additional Info == | ||
This DX is to be used if this is one of the main reasons for admission to | *This DX is to be used if this is one of the main reasons for admission to a ward or ICU prior to going to OR, not for routine preop surgical preparation. | ||
*Example: COPD patient to have elective surgery and is brought in 2 days early to get intensive COPD management to lower periop risk. | |||
*Use this code for a live organ donor who comes in electively before donating the organ (usually a kidney) to be "tuned up" by the surgical service. | |||
**Note that in most cases, the person goes off to OR to have the organ harvested and never returns to ICU or Medicine. In that usual case, there WILL be no codes identifying that the person was an organ donor, and this is OK. | |||
**In the rarer case where they go to OR, get the organ harvested and have a problem that gets them to an ICU or one of our wards, then you should code BOTH of the following: | |||
***As an admit procedure code, combine the organ removed with [[Procure, Harvest, Obtain for Further Use]] | |||
***As an admit diagnosis code, [[Organ donor (organ/tissue donation by the donor)]] AND whatever operative complication they had that led to coming to the unit. {{DT | needs to go elsewhere}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == |
Revision as of 10:57, 2019 April 23
ICD10 Diagnosis | |
Dx: | Preparatory care (incl preop optimization) |
ICD10 code: | Z51.4 |
Pre-ICD10 counterpart: | Pre OP admission-other, Pre op Admit-Cardiovasc Patient |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | none |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- This DX is to be used if this is one of the main reasons for admission to a ward or ICU prior to going to OR, not for routine preop surgical preparation.
- Example: COPD patient to have elective surgery and is brought in 2 days early to get intensive COPD management to lower periop risk.
- Use this code for a live organ donor who comes in electively before donating the organ (usually a kidney) to be "tuned up" by the surgical service.
- Note that in most cases, the person goes off to OR to have the organ harvested and never returns to ICU or Medicine. In that usual case, there WILL be no codes identifying that the person was an organ donor, and this is OK.
- In the rarer case where they go to OR, get the organ harvested and have a problem that gets them to an ICU or one of our wards, then you should code BOTH of the following:
- As an admit procedure code, combine the organ removed with Procure, Harvest, Obtain for Further Use
- As an admit diagnosis code, Organ donor (organ/tissue donation by the donor) AND whatever operative complication they had that led to coming to the unit.
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Related articles: |
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