Tracheostomy Site Infection: Difference between revisions

Revision as of 15:58, 2015 May 12

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Tracheostomy complication, infection of site

Click Expand to show legacy content.

edit dx infobox
Category/Organ System:	Category: Infection (old)
Type:	Medical Problem
Main Diagnosis:	Tracheostomy Site Infection
Sub Diagnosis:
Diagnosis Code:	9300
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:
Status:
Start Date:	2015-May-11

We will start using this entry shortly...

does the pt then have to have a Tracheostomy entry as well, at least as an admit?
if patient is admitted with trach (774) then 774 should be part of ADMIT DX coding
if patient develops trach site infection that need to be tx with antibotics, AFTER admission then code 93 - with pathogen subcode in COMPLICATIONS/ACQURIED DX coding.
if admitted to unit with a trach site infection that is already present prior to admission, then code trach site infection 93 (with subcode) as part of the ADMIT DX. No need to code 774 in admit DX.
- you can have a Trach (774) without a trach site infection (9300), but you cannot have a trach site infection (9300) without a Trach (774).
  - do we want staff to remember to double code?

do we need to cross-check with Trach Task
- yes. If 774 (trach) or 9300 (trach site infection) in admit or acquired, then must be marked in TASK.

This was coded as 77408 - Tracheostomy site infection until 2015-May-11.

New code added to s_alldiagnoses for CCMDB.mdb version 2015-May-4-6.

Conversion of old dxs in CFE is still outstanding. There is an SQL update query Pagasa is to run in CFE.

@@ Line 3: / Line 3: @@
 We will start using this entry shortly...
-* does the pt then have to have a [[Tracheostomy]] entry as well, at least as an admit?
+{{Discussion}}
+* does the pt then have to have a [[Tracheostomy]] entry as well, at least as an admit?
+*if patient is admitted with trach (774) then 774 should be part of ADMIT DX coding
+*if patient develops trach site infection that need to be tx with antibotics, AFTER admission then code 93 - with pathogen subcode in COMPLICATIONS/ACQURIED DX coding.
+*if admitted to unit with a trach site infection that is already present prior to admission, then code trach site infection 93 (with subcode) as part of the ADMIT DX.  No need to code 774 in admit DX.
+**you can have a Trach (774) without a trach site infection (9300), but you cannot have a trach site infection (9300) without a Trach (774).
+***do we want staff to remember to double code?
 * do we need to cross-check with [[Trach Task]]
+**yes.  If 774 (trach) or 9300 (trach site infection) in admit or acquired, then must be marked in TASK.
 == Legacy ==
@@ Line 12: / Line 20: @@
 New code added to s_alldiagnoses for CCMDB.mdb version 2015-May-4-6.
-Conversion of old dxs in CFE is still outstanding.
+Conversion of old dxs in CFE is still outstanding. There is an SQL update query Pagasa is to run in CFE.
 [[Category: Tracheostomy]]