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Records 71 to 80 of 1588
1948 - ACS 1614 and respiratory distress syndrome - retired 30/6/2010
The third year students at LaTrobe University would appreciate clarification about the following issues. Neither the coding standards nor a search of the NCCH data base and the VICC newsletters has helped.
1. The following instruction appears in ACS 1614
The code for respiratory distress syndrome of newborn (P22.0 Respiratory distress syndrome of newborn) should be reserved to classify the condition of:
• hyaline membrane disease, or
&nbs...
(February 2004)
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2761 - ACS 1615 Specific interventions for the sick neonate and parenteral fluid therapy - retired 30/6/2017
We would like to seek clarification of the following statement regarding the assignment of intervention codes for parenteral fluid therapy as outlined in ACS 1615 Specific interventions for the sick neonate and parenteral fluid therapy:
“...Should be assigned when used for management of carbohydrate, hydration or electrolyte disorders”.
We have sought clarification from a paediatrician who provided the following information:
IV fluids are used for...
(March 2013)
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2464 - ACS 1808 Incontinence - retired 30/6/2015
We have many patients admitted to our hospital with evidence of incontinence written in the notes.
The following are cases in one of our audits, which have prompted these queries to you.
1.Patient with dementia, who has documentation on the bowel charts of incont/cont for the whole admission, and has IDC for atonic bladder. Can a code for faecal incontinence be assigned?
2. Elderly patient with documentation on the progr...
(December 2009)
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3289 - ACS 1808 Incontinence - retired 30/6/2020
ACS 1808 Incontinence states "Incontinence is clinically significant when the incontinence: is not clinically considered to be physiologically normal, is not clinically considered to be developmentally normal, or is persistent in a patient with significant disability or mental retardation. Urinary and faecal incontinence codes R32, R15 should be assigned only when the incontinence is persistent prior to admission, is present at discharge or persists for at least seven days."
...
(December 2017)
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3511 - ACS 1904 - terms that indicate a procedural complication
ACS 1904 Procedural Complications states that the terms 'secondary to' or 'due to' infer a causal relationship between a condition and a procedure in contrast to terms such as 'postop', 'following' or 'associated with'.
Can the VICC please clarify whether the term ‘complicated by’ also infers a causal relationship and how ACS 1904 should be applied in the following scenarios?
Scenario 1: Progress notes state 'femoral hernia repair complicated by ...
(June 2019)
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3047 - ACS 1904 Procedural Complications - retired 30/6/2020
Does a patient who has an episode of hypotension following a procedure and is treated with fluids meet the criteria to be classified as a post operative complication? The patient had only one episode so it could be argued that hypotension is one of those transient conditions that are not normally coded as a complication but a code to identify the condition is used.
Search details:
ACS 1904 states that many conditions may arise during or in the period followi...
(December 2015)
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3433 - ACS 1907 Multiple injuries sequencing
Seeking your interpretation of the following statement within ACS 1907 Multiple injuries.
'Sequencing of multiple injuries: In the case of multiple specified injuries, select as the principal diagnosis the condition which presents the most serious threat to life. If the most serious condition is not identified in the record, then clarification with the clinician should be sought.'
Many episodes contain multiple injuries/trauma, and the clinician ...
(December 2018)
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2664 - ACS 1908 Laceration with nerve and tendon damage - retired 30/6/2017
ACS 1908 Laceration with nerve and tendon damage
We have differences in opinion on how this standard is applied. Our question is in regards to the paragraph:
Open wound with arterial and nerve damage
The standard states: 'The overriding factor in a vascular injury is the potential of limb loss or compromise. In these instances where arterial and nerve damage may occur together, priority should be given to sequencing arterial damage first followe...
(December 2011)
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3204 - ACS 2117 Non-acute care
At the beginning of ACS 2103 Admission for post acute care it clearly states that the definition of post-acute care is for classification purposes.
There is no similar statement at the beginning of ACS 2117 Non-acute care.
Is the definition of non-acute (or maintenance) care in the first sentence of ACS 2117 Non-acute care also intended for classification purposes and independent of the Care Type under which the patient is admitted?
...
(September 2018)
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1895 - Activity code
Scenario 1:Male presented with shortness of breath and subsequent chest pain and was admitted with angina due to fighting fires in the bush. As there is no mention of his being either employed as a fire fighter or acting as a volunteer, what activity code should be used? Scenario 2:Female admitted with smoke inhalation while fighting fires as a volunteer. What activity code should be used?...
(May 2003)
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