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Records 121 to 130 of 1588
2717 - Alcohol withdrawal
Does alcohol withdrawal always need to be documented to be able to code it, or can you code it based on an alcohol withdrawal chart in correlation with the medication chart?
For example, if an alcohol withdrawal chart is being completed and on a particular day the patient scores high and is given diazepam (which can be correlated in the medication chart) are you able to code F10.3 Mental and Behavioural disorders due to use of alcohol, withdrawal state?...
(September 2012)
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3458 - Alcohol withdrawal seizure
Can VICC please confirm the correct codes and sequencing for the principal diagnosis 'Alcohol withdrawal seizure' in the following scenarios?
Tabular description at F10.-:
.3 Withdrawal state:
A group of symptoms of variable clustering and severity occurring on absolute or relative withdrawal of a psychoactive substance after persistent use of that substance.
The onset and course of the withdrawal state are time-limited a...
(March 2019)
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2600 - Alcoholic cirrhosis of liver with a past history of drinking - retired 30/6/2017
There has been some debate at our organisation whether F10.1 Harmful use of alcohol should be used in conjunction with code K70.3 Alcoholic cirrhosis of liver when a patient is no longer drinking alcohol.
In VICC #2234 Harmful use of alcohol the patient is still drinking heavily and received counselling for this and hence F10.1 Harmful use of alcohol should also be coded.
In the instance where the patient no longer drinks and has a past histo...
(March 2011)
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3390 - Allergic manifestations
We require clarification regarding the coding of symptoms/manifestation of allergic reactions as per advice ACS 2115 Admission for Allergen Challenge and ACCD Coding Rule Q2905 Coding of Allergic Reactions NOS and Anaphylactic Reactions.
ACS 2115 states that 'additional chapter codes can also be assigned where they are required to classify the clinical concept'. ACCD Coding Rule Q2905 however states that 'symptoms such as wheeze, urticaria and swelling should not be code...
(December 2018)
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2934 - Allergic reaction to heroin
A patient presented to our facility with sudden swelling and paraesthesia of left forearm and hand after injecting heroin. The patient was treated with antihistamine and analgesia and transferred to Short Stay Unit for observation.
The patient was discharged the following day after the swelling had subsided. It was felt that the patient had inadvertently injected the heroin intra-arterially rather than intravenously. The final diagnosis was likely localised allergic re...
(September 2014)
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2406 - Allergy challenges - retired 30/6/2015
Please advise on the correct code assignment for patients admitted for allergy challenges for these two scenarios.
1) Patient admitted for a suspected peanut allergy. The patient is given a smear of peanut butter in the inside of the mouth and observed. Patient does not show any signs of reaction. Is it correct to assign Z03.6 as principal diagnosis?
2) Patient admitted for a suspected peanut allergy. The patient is given a smear of peanut butte...
(December 2008)
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2948 - Allergy T78.4
VICC #2351 Category T78 was retired 30/06/2013. Can VICC please advise if the advice is still applicable?...
(September 2015)
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3852 - Allied health pharmacy coding
Is it suitable to code the pharmacy allied health intervention code from a Medication Management Plan?
The majority of our non same day patients have one of these completed by a pharmacist but there is no indication the pharmacy reviewed the patient at their bedside. Does the pharmacist have to physically see the patient to assign this code or can an intervention be described as anything a pharmacist does for a patient? Pharmacists can often advise clinical staff on a pl...
(May 2022)
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3674 - Alteplase for blocked catheters (PICC)
1.Can VICC please advise if the following scenarios meet ACS 0002 Additional diagnoses criteria and ACS 1904 Procedural complications, in order to assign codes for a blocked catheter complication to codes T82.51, Y84.8, Y92.2*?
Scenario a):
Documented by nursing team in the nursing progress notes: “ordered Alteplase to relieve a blocked PICC catheter”, “Stat alteplase administered, left for two hours”
Scenario b):
Document...
(September 2020)
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1912 - Amputation of arm - retired 30/6/2010
A patient had their arm amputated in an accident. Amputation- traumatic-- arm S48.9 (Traumatic amputation of shoulder and upper arm level unspecified) --- meaning upper limb - see amputation, traumatic, limb, upper Amputation- traumatic-- limb--- upper T11.6 (Traumatic amputation of upper limb, level unspecified) This index entry seems incorrect because it implies that it is leading you to a more specific code when in fact the T code is unspecified.Therefore it would be very rare to use the T...
(February 2004)
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