Trauma post-op vs non post-op: Difference between revisions
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Ttenbergen (talk | contribs) m (Text replacement - "Category:Trauma" to "Category: Trauma(old)") |
Ttenbergen (talk | contribs) m (Text replacement - "Trauma(old)" to "Trauma (old)") |
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[[Category:Diagnosis Coding]] | [[Category:Diagnosis Coding]] |
Revision as of 21:58, 2018 December 30
This article explains the difference between post-op and non-postop trauma codes and how they are used.
If a trauma patient has an injury that is not initially treated before unit/ward arrival, code this as a non-post-op trauma admit diagnosis.
If a trauma patient has an injury that is treated before unit/ward arrival, code this as a post-op trauma admit diagnosis.
If a trauma patient is admitted to your ward/unit and is then sent to the OR for treatment and returns directly to your unit (not to RR or surgery ward), code this as a post-op trauma complication/acquired diagnosis.
If a patient acquires a trauma on the ward/unit, code this as a non-post-op trauma complication/acquired diagnosis
examples
- Patient arrives on unit after MVA with untreated subdural hematoma
- admitting diagnosis is Subdural Hematoma Non-Post-op MVA
- Patient is then taken to OR for a craniotomy to evacuate a traumatic SDH from an MVA
- the complication/acquired DX is Subdural hematoma-POST-OP - MVA