Violent 2nd to dementia: Difference between revisions

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{{DX tag | Neurological | Medical Problem | Violent Behaviour | VIOLENT BEHAVIOUR | 538-00 | No | 0 | '''Critical Care and Medicine''' | Currently Collected |May 27, 2004 | |}}
{{PreICD10 dx
| NewDxArticle = Violent behavior
}}
{{DX tag | Neurological Problem | Medical Problem | Violent 2nd to [[Dementia]]| VIOLENT 2nd TO DEMENTIA | 53800 - Violent 2nd to dementia | No | 1 | '''Critical Care and Medicine''' | Currently Collected |May 27, 2004 | |}}


The full name in the coding guide is "VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA" but had to be shortened to fit on the PDA.  
Violent behavior secondary to [[Dementia]] it the only "specific" reason we are tracking violent behavior.  We will not change this until we go to ICU10. As discussed with Dr. Allan Garland. [[User:TOstryzniuk|Trish Ostryzniuk]] 12:13, 2012 July 16 (CDT)


== Causes for Violent behaviour ==
In ICD-10 coding, this single entity becomes a co-code of Violent behavior + the appropriate type of dementia.
Can collectors please provide examples of other reasons besides [[Dementia]] that is causing violent behavior on wards????TOstryzniuk 17:06, 29 July 2008 (CDT)
**899-3- [[Schizophrenia]] (comorbid)
**539-00- acute [[Psychosis]]
**599-11- [[2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis)]] drug withdrawal/intoxication (other neurological problems)
**540-00- [[Confusion/Delirium NYD]]
**Head Injuries (code?)


{{discussion}}
== Do not use code for non-dementia violence ==
==Discussion==
There are psychological problems we code however, we do not differentiate if violence is or is not associated with the any of the following conditions:
=== Value of collecting VB ===
*899-3- [[Schizophrenia]] (comorbid)
* Most of the examples listed here are conditions that can ''cause'' violent behavior. This is well known, i.e. if there is a diagnosis of psychosis, then violent behavior should probably be expected. If something is part of a diagnosis, it should not have to be coded separately, should it? If someone has an appendectomy we would not want to code "sutures", right?  So, my question is, is there value in recording VB in this case? [[User:Ttenbergen|Ttenbergen]] 16:37, 20 April 2009 (CDT)
*539-00- acute [[Psychosis]]
* I agree that 2nd to dementia should not be part of the VB code (538).  There are definitely other reasons for VB,  ICU psychosis ( a well documented ICU complication) is one of them.  I think this should be left generic without a subcode.  --[[User:LKolesar|LKolesar]] 11:37, 21 September 2009 (CDT)
*599-11- [[2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis)]] drug withdrawal/intoxication (other neurological problems)
** My humble answer is yes , it is definitely NB to record VB as with your example all surgeries require some form of sutures, clips, etc however, not all of the disease and trauma's listed cause VB 100% of the time...it is an abberant occurance that requires tons of staff/time and interventions........ W. Turner(SOGH)
*540-00- [[Confusion/Delirium]]
*** Trish, Julie: Are we actually reporting on VB in any of the ways Wendy mentions?
*Head Injuries (code?)
** interesting, no code in [[:Category:Trauma]]; could find neurologic seizure head trauma 50904, a search of the s_alldiagnoses table didn't find anything except OR codes...


=== Extending Vb to non-dementia cases===
== Name shortening ==
* From the list of diagnoses it sounds like there are cases of VB we will not track if a collector follows the exact description. Should the "secondary to dementia" requirement be removed? Are we coding VB only for dementia at this time or for the other causes as well? Maybe sub-code 538?[[User:Ttenbergen|Ttenbergen]] 11:25, 21 September 2009 (CDT)
The full name in the coding guide is "VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA" but had to be shortened to fit into the [[CCMDB.mdb]].


{{stub}}
 
[[Category:Diagnosis Coding]]
 
[[Category: Neurological Problem]]
 
[[Category: Questions Diagnosis]]
[[Category: Neurological Problem (old)]]

Latest revision as of 14:59, 2018 December 31


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Violent behavior

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Neurological Problem (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Violent 2nd to Dementia
Sub Diagnosis: VIOLENT 2nd TO DEMENTIA
Diagnosis Code: 53800 - Violent 2nd to dementia
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 1
Program: Critical Care and Medicine
Status: Currently Collected
Start Date: May 27, 2004

Violent behavior secondary to Dementia it the only "specific" reason we are tracking violent behavior. We will not change this until we go to ICU10. As discussed with Dr. Allan Garland. Trish Ostryzniuk 12:13, 2012 July 16 (CDT)

In ICD-10 coding, this single entity becomes a co-code of Violent behavior + the appropriate type of dementia.

Do not use code for non-dementia violence

There are psychological problems we code however, we do not differentiate if violence is or is not associated with the any of the following conditions:

Name shortening

The full name in the coding guide is "VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA" but had to be shortened to fit into the CCMDB.mdb.

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