Template:ICD10 Guideline Falls: Difference between revisions
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{{Discuss | who = Allan | question = t | |||
*Do you mean [[Primary Admit Diagnosis]]? But what if the fall isn't the main reason they are in hospital? Ttenbergen 21:52, 2018 October 15 (CDT) | |||
*AG REPLY --- no. the word "PRIMARY" here does not refer to the #1 admit dx, but instead refers to which of the 2 combo codes [the fall and the injury that occurred] is identified as the main/primary item. I've changed the wording to avoid confusion.}} | |||
</noinclude>=== Rules for Coding Falls in ICD10 === | </noinclude>=== Rules for Coding Falls in ICD10 === | ||
*Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code | *Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the associated mechanism of injury as '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]''' | ||
*Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way. | *Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way. | ||
*For out-of-hospital falls that are a reason for admission that did '''NOT''' cause an injury code '''[[Observation after accident/injury]]''' combined with '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''. | *For out-of-hospital falls that are a reason for admission that did '''NOT''' cause an injury --> code '''[[Observation after accident/injury]]''' combined with '''[[Mechanism of injury: fall or jump (not necessarily from a height)]]'''. | ||
Revision as of 12:36, 2018 December 13
This template info about coding falls to keep it consistent across pages.
To use:
- {{ICD10 Guideline Falls}}
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Rules for Coding Falls in ICD10
- Only code in-hospital falls IF THEY CAUSE AN INJURY, and in that case code the associated mechanism of injury as Mechanism of injury: fall or jump (not necessarily from a height)
- Out-of-hospital falls that are a reason for admission, that caused an injury should be coded the same way.
- For out-of-hospital falls that are a reason for admission that did NOT cause an injury --> code Observation after accident/injury combined with Mechanism of injury: fall or jump (not necessarily from a height).
- This code is used if a person was observed for a suspected accident/injury/trauma but did NOT end up having an injury (e.g. patient fell, hit his head, initial workup was negative but he was admitted and observed for a day, during which no evidence of an actual injury occurred.
- Along with this, you should also code the Mechanism of the accident, using one of the codes in Category:Mechanism.
- If an actual injury occurred, coded that (or those), not his entity.
- It is used to code the observational care itself, not the suspected injury. So, in regard to a fall in hospital without an injury, use this code only if there was actual additional medical observation that resulted from the fall, e.g. an extra day in hospital.