Health data standards and systems - Victorian ICD coding committee (VICC) queries database, Department of Health and Human services, Victoria, Australia

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Records 11 to 20 of 1588

3158 - Abnormal or non-reassuring CTG in labour and delivery
VICC query #2174 stated that 'if you have documentation of abnormal CTG or non-reassuring CTG only as the reason for intervention with no specific heart rate anomalies documented assign the code O68.8 labour and delivery complicated by other evidence of fetal stress'. This query has since been retired. Would the committee please review the response and advise if this advice should still be followed? If not, please advise on how to assign a code for these situations, if a... (December 2016) read more...

2969 - Aborted STEMI/AMI
When a patient presents as STEMI/AMI, but myocardial damage is completely averted by prompt revascularization, and there is documentation of averted or aborted MI in the patient record, what is the correct code to assign? Would I24.0 Coronary thrombosis not resulting in myocardial infarction be the correct code to assign? Definition: Abortion of myocardial infarction is thought to follow rapid early reperfusion of a thrombotic occlus... (March 2015) read more...

3584 - Abortion
A patient is admitted for termination of pregnancy at 6 weeks. Patient goes to theatre and suction D&C performed under IV sedation. Patient has ongoing pain and haemorrhage post operatively and ultrasound performed. Patient found to have retained clot and returned to theatre where aspiration of uterus performed. Is the abortion coded to O04.9 or O04.1. If coded to O04.1 then would the prefix be 'C' as there was no complication on admission. Also there was no complication... (June 2020) read more...

2488 - Abortion NOS
If the type of abortion is not specified, can we assume it to be spontaneous or do we use O06.x Unspecified abortion which is the default in the index?... (December 2009) read more...

3185 - Absent red eye reflex - retired 30/6/2020
Could you please indicate what code should be assigned when a newborn is found to have an absent red eye reflex on examination and is referred to specialist eye services for further investigation?... (March 2017) read more...

2134 - Accidental punctures and lacerations - retired 30/6/2013
Should accidental punctures & lacerations during procedures be coded when no action is taken? Search Details: We have checked NCCH query database, ICD coding newsletter & Coding Matters but have come up with no information regarding this subject.... (March 2007) read more...

1986 - Accidents and injuries during pregnancy - retired 30/6/2010
Scenario 1: Obstetric patients present following motor vehicle accidents (MVAs), accidents in the home, workplace etc. They are seen by the O&G clinician, and CTG is performed to assess fetal wellbeing. We code these episodes according to the 'Minor Trauma Coding Guidelines' (ICD Coding Newsletter - June 2001), as well as coding 'O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium' as the principal diagnosis. Tha... (December 2004) read more...

3541 - Achilles tendon repair and debridement
This patient was admitted with an Achilles tendon rupture. The title on the operation report is left tendoachilles repair. In the body of the operation report it is documented that the tear was identified and debrided. It was then repaired with PDS suture using Krakow techinique with augment repair of tendon and paratendon with 2.0 vicryl. VICC query #3073 Debridement with repair states: “VICC considers that a code for th... (June 2020) read more...

2709 - ACS 0001 Principal diagnosis - two or more diagnoses that equally meet principal diagnosis definition
When a doctor lists several conditions as principal diagnosis my understanding of this standard has always been that we take into consideration the circumstances of the admission when choosing the principal diagnosis, as per example 1 in the standard (where I interpret all diagnoses as meeting criteria for coding). If, after viewing the notes, more than one diagnosis could equally be principal, as determined by admission circumstances, workup and therapy provided, we should refer to the clinici... (June 2012) read more...

2989 - ACS 0001 Principal diagnosis problems and underlying conditions - retired 30/6/2020
ACS 0001 Principal Diagnosis, sub-heading Problems and underlying conditions, point 2, Coding the problem as the principal diagnosis. Scenario: patient with previously diagnosed secondary neoplasm to bone, admitted for MANAGEMENT OF BONE PAIN. We have coders and auditors developing material for students and would appreciate clarification. This has been discussed with more than 20 individuals and the response vary 50/50 between the answers provid... (June 2015) read more...

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