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Records 21 to 30 of 1588
2648 - ACS 0001 Principal diagnosis, problems with underlying conditions in the perinatal period
Please clarify the use of ACS 0001Principal diagnosis - Problems with underlying conditions, point two 'Coding the problem as the principal diagnosis' when applied to conditions originating in the perinatal period.
ACS 1605 Conditions originating in the perinatal period, second dot point 'Conditions originating in the perinatal period still apply for infants >28 days who are discharged and subsequently readmitted with a condition documented as originating in the perinata...
(December 2011)
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3635 - ACS 0002 – Documented plan for routine care
In ACS 0002 example 11 the patient was advised by a nurse to drink more fluids as slightly hypotensive. In this example, the hypotension was not a significant condition in the episode of care, as the patient was only advised to drink more fluids; therefore it does not meet the criteria in ACS 0002.
If, following clinical consultation, a doctor documents a plan which would be considered routine care such as ‘encourage oral fluids’ would the condition still be considered c...
(September 2020)
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2572 - ACS 0002 Additional diagnoses and ACS 0010 General abstraction guidelines - retired 30/6/2017
We have a case where hypokalaemia is recorded as an additional diagnosis on the discharge summary, blood tests show low potassium and the administration of slow k is documented on the drug chart. There is no documentation of hypokalaemia within the body of the medical record.
The standard 0010 General abstraction Guidelines infers that conditions need to be supported within the body of the medical record before the coder can assign a code for the condition.
...
(December 2010)
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3646 - ACS 0002 Additional diagnoses and discharge medication - retired 31/5/2023
This patient was admitted with a traumatic subdural haematoma following a fall with headstrike. On the day of discharge U&Es were performed which showed potassium 3.1 mmol/L.
The discharge summary records the following:
# Hypokalaemia
– likely in the setting of poor oral intake whilst in hospital
- Prescribed Slow K and for GP to repeat U&Es in 3-4 days (slip given)
The discharge prescription confirms that the patient was ...
(September 2020)
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3626 - ACS 0002 and Eleventh Edition Victorian Education
ACS 0002 states the following:
“Documentation of a consultation does not have to be a formal consultation report. Documentation of assessment of a condition in the progress notes or elsewhere (eg a care plan) is sufficient. Telephone or electronic consultation with clear documentation of the information exchange is also regarded as a clinical consultation.”
1. Can you please further clarify other forms of ‘Clinical Consultation’ as mentioned in ACS 0002? Are ...
(June 2020)
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3658 - ACS 0002 and increased clinical care
Many thanks for considering these issues for us.
Firstly:
1.Is the VAHI 11th Edition ICD-10-AM/ACHI/ACS Victorian Education document still to be used by Victorian Coders as a supplement to ACS 0002, since the release of Errata 3 amendments to ACS 0002 (for implementation 1st January 2020)?
If so, we would like clarification in regards to this particular point regarding the Increased Clinical Care section and condition sig...
(June 2020)
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3072 - ACS 0003 Supplementary codes for chronic conditions
ACS 0003 states that U codes for chronic conditions are only to be assigned where it is evident that the condition is part of the current health status of the patient. We have taken this to mean that if a condition is incurable it can be assigned a U code. To avoid coders having to make this decision we have put together the following list of conditions that our research indicates cannot be cured (which has been confirmed by a clinician). The conditions listed as can be cured or unclear require...
(December 2015)
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3627 - ACS 0010 Clinical documentation and general abstraction guidelines documented descriptions
ACS 0010 Clinical documentation and general abstraction guidelines states the following:
Do not use test result values, descriptions, medication charts, symbols and abbreviations in isolation to inform code assignment. For example:
• a documented description (eg low blood sugar level) does not necessarily mean that the patient has a particular condition (eg hypoglycaemia).
If the documentation does not sufficiently describe a disease/condition, cl...
(September 2020)
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2419 - ACS 0010 General abstraction guidelines - retired 30/6/2015
We are seeking clarification on the application of ACS 0010 General Abstraction Guidelines. In particular our query relates to coding from test results where there are findings with an unclear, or no associated condition documented.
Example three on page 9 of the Australian Coding Standards lists examples of where conditions would not be coded based on test results.
We have three scenarios listed below that we would like advice on how to code:
&...
(December 2009)
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2773 - ACS 0011 Admission for surgery not performed - retired 30/6/2017
We seek clarification on the following scenario in relation to the assignment of the codes Z53.-, which we don’t find is covered in ACS 0011 Admission for surgery not performed.
A patient admitted for a procedure is taken to theatre and anaesthetised. Before the procedure is commenced (knife to skin) the patient becomes unstable and the procedure is abandoned.
Are we expected to assign a code from Z53.- in the string of codes to highlight the ca...
(March 2013)
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