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 31 to 40 of 1588

2824 - ACS 0012 Suspected conditions - retired 30/6/2020
There is some confusion over when to apply point 3 of ACS 0012 Suspected conditions. If investigations were undertaken and the results indicated a probable diagnosis, yet no specific treatment was initiated during the episode of care, assign a code for the suspected condition. Our issue is that some interpret the wording of a probable diagnosis to mean any of the terms indicating uncertainty that are mentioned at the beginning of the standard probable, suspected, possib... (September 2015) read more...

3398 - ACS 0012 Suspected conditions
The opening statement of ACS 0012 Suspected conditions mentions 'terms that indicate uncertainty about the final diagnosis (such as probable, suspected, possible, likely, query, ?) or other similar qualifying expressions'. There is no mention of differential diagnoses. Can the VICC please advise what should be coded when there is documentation of both a suspected condition and a differential diagnosis? We are unsure of how to apply ACS 0012 to t... (December 2018) read more...

2307 - ACS 0012 Suspected conditions - retired 30/6/2013
A patient has an AMI and IHD is suspected. The patient is then transferred for an angiogram at a hospital that provides higher level care. Do we apply ACS 0012 Suspected conditions and code the IHD with a “transferred up” code or just the AMI?... (June 2007) read more...

2876 - ACS 0012 Suspected Conditions and transfers
Patient presents to Hospital A with chest pain. Having met admission criteria at Hospital A, the patient is transferred to Hospital B for CTPA with the transferring letter stating this is "to exclude PE" (pulmonary embolism) - note Hospital A does not have the equipment to perform this procedure. There is no documentation in the clinical notes other than chest pain. Is the terminology "to exclude PE" synonymous with "? PE". That is, does a transfer to rule out a condi... (March 2014) read more...

1913 - ACS 0020 Multiple procedures
If a patient has a panendoscopy and multiple biopsies are taken, do we need to code this multiple times? For example: 1. Panendoscopy with six duodenal biopsies. Is code 30473-01 [1008] Panendoscopy to duodenum with biopsy coded six times? 2. Panendoscopy with biopsies of oesophagus, stomach and duodenum. Is code 30473-01 [1008] Panendoscopy to duodenum with biopsy coded three times? Inclusion notes under code 32090-0... (May 2004) read more...

2197 - ACS 0020 Multiple/Bilateral Procedures and ECT - retired 30/6/2010
My query relates to Standard 0020 - Multiple/Bilateral Procedures. In section (b) of the 'exceptions' the Standard instructs coders to have one code assigned 'per OPERATIVE episode'. As multiple administrations of ECT are each performed in different OPERATIVE episodes, but often within the one PATIENT episode, strict adherence to the Standard would suggest a coder should assign 93340-02 [1907] Electroconvulsive therapy [ECT] <=12 treatments at each OPERATIVE ... (December 2005) read more...

2492 - ACS 0031 Anaesthesia - retired 30/6/2015
The distinction between sedation and general anaesthesia is often unclear from clinical documentation. For the purposes of classification in ACHI, 92515-XX [1910] Sedation may be assigned where the anaesthetic is administered as per general anaesthesia (ie intravenous or inhalational or both) and there is no documentation of the use of an artificial airway, such as an endotracheal tube, laryngeal mask or Guedel airway. I, and other coders, read this part of the standard... (December 2009) read more...

2342 - ACS 0031 Anaesthesia - retired 30/6/2013
Is there a sequencing order for anaesthetic codes? It is clear there is a hierarchy within conduction and cerebral anaesthesia (only code the first in the hierarchy), but if you have one conduction and one cerebral anaesthetic, do they have to be in a particular order?... (September 2007) read more...

2101 - ACS 0044 Chemotherapy - retired 30/6/2010
We are having difficulty applying ACS 0044 'Chemotherapy' for patients with neoplasms who are admitted to our same day oncology ward. In particular we are having difficulty determining what a ‘neoplasm related condition’ is. How should the following scenarios be coded? 1. Patient is admitted as a same day episode to our day oncology ward with dehydration and receives intravenous electrolytes. Patient has previously been diagnosed with breast cancer. Is the PD Z51.1 ... (March 2006) read more...

2439 - ACS 0048 Condition onset flag - retired 30/6/2015
Example 3 in the ACS 0048 Condition onset flag, relates to an obstetric episode. Both the PPH and CRN have been coded in this example, without supporting evidence of how either of these conditions meet ACS 0002. ACS 0002 indicates under 'Conditions noted in obstetric cases' that conditions noted by the clinician should not be coded unless they meet ACS 0002. There are also obstetric examples in CM and the NCCH database which supported and were consistent with this latter view. Could it be th... (December 2008) read more...

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