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 41 to 50 of 1588

3663 - ACS 0051 findings on endoscopy
ACS 0051 Same-day endoscopy – diagnostic states to assign codes for all findings (these findings do not need to meet criteria in ACS 0002 Additional diagnoses). However ACS 0010 Clinical documentation and general abstraction guidelines states “in the event that an investigation result varies from the clinical documentation, such as a clinical diagnosis of gastric ulcer with 'no evidence of ulcer' reported on histopathology, the case should be referred to the clinician. A... (May 2023) read more...

3491 - ACS 0051 Same-day endoscopy - diagnostic
ACS 0051 Same-day endoscopy - diagnostic says 'This standard does not apply where principal/additional diagnoses are clearly documented.' Our hospital has discharge summaries for same day endoscopy patients, on which a clear principal diagnosis is documented. Does VICC Query #3261 (which refers to 'operative diagnosis') still apply in this instance? If so, do VICC Queries override Australian Coding Standards?... (June 2019) read more...

2182 - ACS 0110 Septicaemia - retired 30/6/2010
A one month old male patient presents with fever (38.9) and irritability (HR 120bpm). The patient was admitted with initial notes indicating a 'probable UTI'. A full septic work up was completed. Results from this indicated a UTI which grew enterobacter and klebsiella species (sensitive to Gentamicin) CSF culture was negative. The patient was treated with antibiotics and discharged 4 days later. According to the information provided in the medical record, we would've ... (December 2005) read more...

2238 - ACS 0112 Infection with drug resistant microorganisms - retired 30/6/2010
ACS 0112 Infection with drug resistant microorganisms instructs coders to assign a code from Z06.x Bacterial agents resistant to antibiotics when a clinician has documented the infection as being resistant to an antibiotic. At our hospital the pathology reports will often document that the infection is resistant to an antibiotic however the clinician will not have documented it in the record. Can we apply the same logic we do when coding the type of organism and assign a code from Z06.x when it ... (June 2006) read more...

1958 - ACS 0236 Neoplasm coding and sequencing - retired 30/6/2010
The primary malignancy should be coded as a current condition if the episode of care is for: • diagnosis or treatment of the primary malignancy, in any of the following circumstances: - initial diagnosis of the primary malignancy - treatment of complications of the malignancy (see also ACS 0207 Complications associated with neoplasms) - operative intervention to remove the malignancy - medical care related to the malignan... (February 2004) read more...

2268 - ACS 0303 Abnormal coagulation profile - retired 30/6/2013
We have read ACS 0303 Abnormal coagulation profile and understand the scenarios you have made available. We have read and re-read the standard and still require your help. We have read FAQ's in 2002 from NCCH which didn't shed much light either. Can you only code D68.x Other coagulation defects when it is the sole reason for admission or can you code this in scenarios 2 & 3? Can you code this when found incidentally during admission? Patien... (March 2007) read more...

2726 - ACS 0401 1 July 2012 changes - retired 30/6/2017
This query is just for the new diabetes coding rules from July 1 2012. Do we have to code out diabetes for dialysis patients? This would affect all the autocoding done across the country.... (September 2012) read more...

2020 - ACS 0401 Diabetes mellitus and impaired glucose regulation 4th Edition - retired 30/6/2010
In 4th edition of ICD-10-AM 'diabetes with multiple microvascular complications' (page 101 ACS 0401) does not contain the errata from the previous edition in the classification box. Is this to be amended via upcoming errata or are the categories to remain as stated? If the categories are to remain as stated am I correct in understanding that a patient with a diabetic cataract (E1-.36) and acute renal failure (E1-.29) would not be classifiable to multiple microvascular co... (March 2005) read more...

2254 - ACS 0530 and mental health emergency presentations - retired 30/6/2013
Following the implementation of the new DHS directive, to record same day transfers from ED to inpatient psychiatric care as one episode with a Care Type 5 I am querying the correct principal diagnosis assignment for these episodes. In particular, the application of ACS 0530 Drug Overdose. You will be aware that the Standard states: 'When an admission is occasioned for treatment of a drug overdose and the patient subsequently receives treatment for an assoc... (September 2006) read more...

2996 - ACS 0920 Acute Pulmonary Oedema - retired 31/5/2023
We have been reviewing our PICQ data and have come up with some questions relating to the coding of Acute Pulmonary Oedema which is causing us some confusion. 1) The standard states that if the underlying cause is not known then we should code I50.1 Left ventricular failure, however if we do have an underlying cause such as pulmonary hypertension should we then code J81 Pulmonary oedema? 2 a) Are there instances where the underlying cause would... (June 2015) read more...

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