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Records 191 to 200 of 1588
2352 - B Blocker withdrawal syndrome
59 year old female underwent ultra-low anterior resection for Carcinoma rectum.
Third post operative day clinician documents B Blocker withdrawal syndrome when IV B Blocker withheld by nursing staff without asking clinician. As a result patient went into AF.
How do you suggest we code the withdrawal?...
(December 2007)
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2141 - Baby of a chemically dependent mother - retired 30/6/2010
A full term baby of a mother on methadone was sent to Special Care Nursery for NASS scoring as per our hospital protocol, where all babies born to a chemically dependent mother are admitted to SCN for seven days monitoring. Some babies have severe symptoms which warrant the code P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction. In this instance, the baby suffered no effects from the drugs and is only monitored. The principal diagnosis used was P04.4 Fetus and newborn...
(September 2005)
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2088 - Balloon test occlusion - retired 30/6/2010
Patient admitted with Chronic headaches. Has a history of aneurysm of cavernous right ICA.
The patient undergoes a Balloon Test Occlusion. This involves a balloon being inflated in the artery to see if the patient is suitable for an occlusion of the aneurysm.
We have coded this to:
90222-00 Other procedure on arteries
60009-00 DSA of Head and Neck=10 DAR
60078-00 DSS Arteriography/Venography 3 vessels
&nbs...
(December 2005)
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3343 - Barrett's oesophagus follow-up and ACS 0052 Same-day endoscopy - surveillance
Can the committee please provide guidance as to the following scenario:
When a patient with a history of Barrett's oesophagus is admitted for follow-up of Barrett's (post PPI treatment of GORD) and there is no Barrett's oesophagus seen on gastroscopy should we be coding the PDx as K22.7 Barrett's oesophagus or Z09. Follow-up examination after treatment for conditions other than malignant neoplasms?
There are different views amongst coders regarding Barrett's ...
(March 2018)
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1956 - Basic concepts of diabetes coding - retired 30/6/2010
Thankyou for your advice on coding the following basic concepts of diabetes that we seem to keep revisiting especially since being recently audited and acquiring new staff:
Question 1:
Can diabetes be coded as an associated condition based on one BSL alone? We had discussed and agreed that using monitoring as a basis for meeting additional diagnosis, more than one BSL would be required according to definition and one level is just a baseline observation alwa...
(September 2004)
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2985 - BBA with delivery of placenta in birthing suite - retired 30/6/2020
Two part question:
1. Can you please advise on the correct coding for unplanned baby born before arrival at home (or in ambulance), and the placenta was delivered in the birth suite once arrived at the hospital?
Recent ACCD advice 'Coding Rules - June 2014 - Manual removal of placenta in a single vaginal delivery', advises that:
" For classification purposes the O80-O84 range of codes describe the delivery component of an obstetric episode of care...
(December 2015)
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3460 - Bed alarm used due to dementia - retired 30/6/2020
A bed alarm was used during a patient’s admission due to a high falls risk as the patient was not following instructions due to their dementia.
When determining whether the dementia meets ACS 0002 and Vic 0002 we have considered Vic 0002 Additional diagnoses education workshop questions and answers: Clinician queries question 9, other additional diagnoses questions question 33 and the pressure injury questions answer.
Can you please clarify is a...
(December 2018)
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3830 - Benign pilocytic astrocytoma
Can you please provide advice on correct morphology code assignment for a ‘benign pilocytic astrocytoma’? Note that this diagnosis was documented in the progress notes and confirmed in a clinician query. This histology describes it as a ‘pilocytic astrocytoma’....
(May 2022)
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3662 - Berinert infusion
Patient admitted with hereditary angioedema and was treated with a Berinert infusion. The infusion was administered intravenously and documented on a blood prescription transfusion form.
Internet research indicates Berinert is a complement esterase inhibitor, a man-made form of a naturally occurring protein in the blood.
It is unclear whether the infusion should be coded as a transfusion of a blood product or an intravenous pharmalogical infusio...
(June 2020)
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3789 - Bicuspid aortic valve with aortic stenosis/regurgitation
Could VICC please advise the correct application of the Excludes note ‘when specified as congenital (Q23.0 – Q23.1, Q23.4 – Q23.9)’ at category I35 Nonrheumatic aortic valve diseases, for a patient with both bicuspid aortic valve and aortic stenosis or regurgitation?
Does the aortic stenosis/regurgitation need to be specifically documented as ‘congenital’ before following this excludes note or is stenosis/regurgitation of a bicuspid valve enough to apply the excludes no...
(May 2022)
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