Witnessed Cardiac Arrest

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:Cardiac arrest, Targeted Temperature Management (TTM)

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edit dx infobox
Category/Organ System:	Category: Cardiovascular(old) (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	Witnessed Cardiac Arrest
Sub Diagnosis:	Witnessed Cardiac Arrest
Diagnosis Code:	10002 - Witnessed Cardiac Arrest
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:	CC & Med
Status:	Currently Collected

AG COMMENT: See notes under Arrest Witnessing --- Perry Grey has a different way of obtaining this info, so we no longer need to collect it.

A witnessed or Unwitnessed Cardiac Arrest patient in ICU must also code in Cooling Protocol using BRR or XBR.

For in-hospital witnessed arrests, code as a witnessed arrest (100-2) only if event was witnessed by hospital medical staff, this does not include house keeping, maintenance or visiting family. The witnessed cardiac arrest on the wiki is speaking only of "in Hospital" arrests when it requires hospital staff to witness.

For out of hospital arrests use anyone present as a witness. The only unwitnessed arrests are if no-one is around when the person collapses and no one knows when it occurs and when CPR is delayed because no one could do it.

Coding example

• Example of coding arrest patient admitted to ICU from ER then sent a number of days later to a medicine ward with the following problems:
  • V. Fib. Cardiac arrest & MI, and CHF at home or in ER.
  • Admitted from ER to ICU then transferred from ICU to Med Ward.
• DX coding:
  • ICU Admit DX:

1. cardiac arrest
2. type of rhythm (if charted)
3. MI
4. CHF

• Transfer to Medicine Ward
  • Admit DX:

1. MI
2. CHF

• Primary reason to ICU was cardiac arrest. Issue resolved in ICU so arrest must not be coded as primary reason to ward when patient transferred to the ward.
• If patient is admitted directly from the ward from ER with the above admitting DX then cardiac arrest is the primary reason for admission to medicine ward from the ER.

Template:Discussion When I first started collection in ICU I was told this was an example on how to code arrests not a rule on how to code the priority of problems. Often that rhythm that caused the arrest is the least of the patients problems.Sometimes in it is a major problem requiring pacemaker,amiodarone etc. However, for example cardiogenic shock,renal failure,septic shock could be the #2 major problem. If the rhythm needs to be in the 2nd diagnostic spot then it should be a rule not an example.If priority doesn't matter than let us know either way. ThanksGHall 07:21, 2016 June 7 (CDT)

ICD10 doesn't seem to have concept "witnessed"

Template:ICD10 Template:DiscussAllanHas Cardiac arrest but no concept of witnessed. What should we do with this? Ttenbergen 23:24, 2017 November 13 (CST)

Template:CCMDB Data Integrity Checks

Will need review with move to CCI/ICD10. Template:CCITemplate:ICD10.

see Check BRR/XBR vs cardiac arrest dx

• see Category Arrest for general info on coding arrests
• see: Unwitnessed Cardiac Arrest
• also see Respiratory Arrest