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 161 to 170 of 1588

3258 - Application of Vic 0002 Additional diagnoses - retired 30/6/2020
1. Vic 0002 specifies 'nurse initiated administration of medications/drugs are not considered to be significant'. Could you please explain how this aligns with the ACCD definition of clinician - 'may refer to other clinicians such as midwives, nurses...the documented information must be appropriate to the clinicians discipline' and (whilst recently retired (7th edition) June 2017) VICC advice that 'coders should trust that the clinician has documented appropriately to his or her di... (October 2017) read more...

2009 - Applying ACS 0002 Additional diagnoses - retired 30/6/2010
We are having trouble applying 'ACS 0002 Additional diagnoses' in the following two scenarios. (1) A 70 year old patient comes in with 'Exacerbation of COPD'. A geriatrician sees the patient stating that they have 'osteoporosis' and makes a comment recommending 'Osteolin, Caltrate, Vit D' (which was not commenced during this admission). Does this warrant coding osteoporosis based on the geriatrician's recommendation? (2) An 84 year old pat... (September 2004) read more...

3716 - Aqueous misdirection of the eye
How should aqueous misdirection be coded? A google search of aqueous misdirection says that this is a secondary angle closure with elevated IOP and shallowing of the anterior chamber of the eye. Is an appropriate code Elevated IOP H40.0 and/or Disease anterior chamber H21.9?... (September 2021) read more...

3844 - Are surgical clips a prosthetic device or implant?
This patient underwent a laparoscopic radical left nephrectomy, which was complicated post-operatively by bleeding. The CT of the abdo-pelvis, which was documented in the ICU progress notes, revealed a large haematoma centred on the left renal bed with extensive active bleeding and pooling in the pelvis thought to stem from a cluster of surgical clips. The patient was transfused with packed cells and underwent embolisation. In order to assign th... (May 2023) read more...

2436 - Arterial bypass of leg using artery - retired 30/6/2015
Patient with type 1 diabetes with arterial foot ulcers underwent left ATA - DPA bypass using left forearm radial artery graft. How do you code arterial bypass of leg? Lookup in ACHI Index: Bypass - arterial - - with - - - composite graft - - - crossover (graft) - - - sequential (skip graft) - - - synthetic material - - - vein - - coronary (artery) &nb... (December 2008) read more...

2762 - Arthoscopic decompression of subacromial space - retired 30/6/2017
There are includes notes under 48903-00 [1400] Decompression of subacromial space for: acromioplasty excision of: - acromioclavicular joint - coraco-acromial ligament - distal clavicle The Includes notes under 48951-00 [1400] Arthoscopic decompression of subacromial space only lists: - division of coraco-acromial ligament. Can it be assumed that when the SAD is done via arthroscopy... (March 2013) read more...

2111 - Aspergillus for IV antibiotics - retired 30/6/2010
53yo lady admitted to Oncology Day Stay unit with aspergillus post bone marrow transplant for CLL for IV antibiotics. On clarifying with nursing staff, they have said that the aspergillus is a lung infection and she is more likely to get it because she is immuno-suppressed because of her post transplant status for CLL. Do we code: 1) Z51.1, C91.10, M9823/3, 96199-00 [1920] as per ICD10AM 4th edition training (pharmacotherapy); or, 2)... (June 2006) read more...

2120 - Aspergillus fumigatus - retired 30/6/2010
A 55 year old female presented for a Bronchoscopy to investigate haemoptysis and an abnormality found on CT. The results, as reported on a computer generated Bronchoscopy report, are: No Endobronchial lesion seen. Purulent discharge from lingular lobe noted. No cause for haemoptypsis found. Washings were taken and the pathology report states: CULTURE: Org 1.Aspergillus fumigatus Scanty g... (June 2005) read more...

2635 - Aspiration pneumonia and the need for external cause codes - retired 30/6/2017
Many years ago there were writings (sorry unable to find the exact document, probably an old NCCH query) that said it was not necessary to code external cause codes for Aspiration pneumonia, unless it added further information. There is an instructional note in the tabular that says to code the external cause codes for J69.0 Pneumonitis due to food and vomit. I believe the use of J69.0 without an external cause does not generate a rejection on PRS2. J69.0 is not on ... (September 2011) read more...

3598 - Assignment of cancer site codes based on clock positions or diagrams
In the Eleventh Edition Education slides Neoplasms, there is a diagram with clock positions with an example of documentation of a breast lesion at 6 o’clock coded to C50.8 Overlapping lesion of breast. VICC #3107 Breast Quadrants and neoplasm codes advises to use a diagram as a reference to assist in determining the site of the neoplasm, however code assignment must be based on documentation in the medical record and by following the index to arrive at the appropriate co... (June 2020) read more...

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