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 131 to 140 of 1588

3045 - Anaemia and myelofibrosis
Coders are seeking clarification in regards to anaemia and myelofibrosis (osteomyelofibrosis). Scenario: Patient is admitted for transfusion of packed red blood cells Diagnosis: Myelofibrosis Presenting complaint: low Hb, anaemia, myelofibrosis Treatment: Blood transfusion Query: should anaemia be coded as an additional diagnosis or would it be considered a symptom of myelofibrosis? Sear... (December 2015) read more...

3496 - Anaemia and myelodysplastic syndrome
We note that at D46.9 Myelodysplastic syndrome, unspecified there is a note, includes: anaemia. Does this note mean that all types of anaemia are included in myelodysplastic syndrome? (e.g. aplastic anaemia, haemolytic anaemia, sickle-cell anaemia). Or is it only anaemia, unspecified that is included in the concept of myelodysplastic syndrome? A patient presented to this facility for a platelet transfusion. The indicatio... (June 2019) read more...

2152 - Anaemia and related descriptions - retired 30/6/2010
I wish to further clarify information regarding the coding of anaemia and related descriptions contained in Query #1944 ICD Coding Newsletter Second Quarter 2004-05. It has become common practice in our hospital for clinicians to document anaemia and its treatment in the following ways: 1. 'Down arrow Hb Transfuse 2 units packed cells' 2. 'Down arrow Hb' Transfusion given. 3. Monitor Hb readings ... (September 2005) read more...

2442 - Anaemia due to methotrexate therapy
The patient was documented to have 'anaemia is likely secondary to methotrexate therapy'. Anaemia did not have any further specificity. For anaemia due to methotrexate, can you follow the index for anaemia, toxic and assign D61.2 Aplastic anaemia due to other external agents (plus Y43.1 Antineoplastic antimetabolites and Y92.22 Health service area)? I usually code diarrhoea due to drugs to K52.1 Toxic gastroenteritis and colitis and hepatitis due to drugs to K71.6 Tox... (March 2009) read more...

2521 - Anaemia in chronic kidney disease - retired 30/6/2015
Reference is made to Coding Matters Volume 16 Number 2 - Anaemia in neoplastic diease. Advice is given that where the cause of anaemia is not known in the presence of a malignancy, the index entries should not be followed and the malignancy should not be coded. Does this advice also apply to anaemia with renal failure, which is similarly indexed? Search Details: Coding Matters Vol 16 No 2 page 1 ACS 1439 Chronic Kidney D... (March 2010) read more...

2474 - Anaemia in neoplastic disease with myelodysplastic syndromes - retired 30/6/2015
I am sure that there has been advice published in the past that D63.0 anaemia in neoplastic disease is not assigned with codes from D46.- Myelodysplastic Syndromes, as the anaemia is inherent in this condition. I am now unable to find this advice and am wondering if it was on the NCCH query database. Could you please confirm if this advice is still correct and current? Search Details: VICC Database Coding Matters... (March 2010) read more...

2548 - Anaemia in patient with blood loss and chronic kidney disease - retired 30/6/2015
A patient is admitted with per rectum (PR) bleeding post polypectomy two weeks ago. Required ICU attendance. The ICU summary states Diagnosis: 1. PR bleed secondary to recent polypectomy 2. Anaemia secondary to PR bleed. Packed cells were administered and a Nuclear Med Bowel Haemorrhage Study was performed. This study concluded an active, brisk bleeding site is identified in the caecum. This patient also has NIDDM with CRF stage 5. My query is whether the anaemia s... (June 2010) read more...

3106 - Anaemia or thrombocytopenia in sameday oncology patients
We are seeking clarification in regards to coding patients with anaemia or thrombocytopenia in same day oncology patients who are admitted for blood products either packed red blood cells or platelets. Example 1: Diagnosis: Myelodysplastic syndrome (MDS) Indication: Thrombocytopenia Treatment: Platelets Would you code the MDS or thrombocytopenia as principal diagnosis? Example 2: ... (September 2016) read more...

3642 - Anaemia secondary to myelofibrosis
VICC #3045 Anaemia and myelofibrosis queries code assignment for a patient receiving packed red blood cells with a documented diagnosis of myelofibrosis, and anaemia listed as a ‘presenting complaint.’ The query advises to only assign a code for the myelofibrosis ‘based on the information provided.’ Can VICC please clarify if the advice to code only the myelofibrosis is specific to the documentation in the query, or if this applies to all cases of anaemia with myelofibro... (June 2020) read more...

2421 - Anaemia with possible multiple causes - retired 30/6/2015
Patient admitted with NSTEMI. Patient also has melaena with anaemia. Documented as: Principal diagnosis: NSTEMI Secondary Diagnoses: Anaemia & malaena ?cause Patient was transfused with 1 unit PRBC for anaemia. (Hb 92). Patient has Prostate Cancer - not treated or investigated and did not meet ACS 0002 Additional diagnoses. Question 1: Do I code the anaemia component as D63.0 Anaem... (December 2009) read more...

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