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 81 to 90 of 1588

3055 - Activity coding for chef
Patient working as a chef in a restaurant (no indication of whether retail or otherwise) preparing food when he cut his hand with a chef's knife. The place of occurrence - service area - restaurant Activity code - do you code this to: - retail trade U73.04 - which is about selling food = which is not what he was doing or - U73.02 manufacturing (which includes manufacturing of food for income) &nb... (December 2015) read more...

1987 - Acute exacerbation of chronic obstructive airways disease (COAD) - retired 30/6/2010
Exacerbation of chronic obstructive airways disease (COAD) NOS. Does the word 'acute' have to be documented in order to assign 'J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified' for exacerbation of COAD? To me, exacerbation indicates an acute increase in severity. The index does not allow you to get to J44.1 without 'acute' being used.... (December 2004) read more...

2247 - Acute fluid overload - retired 30/6/2013
There is some confusion amongst our coders about fluid overload and other conditions, could we please ask for assistance with the following scenarios? a) Patient admitted for THR. During stay has acute fluid overload which requires Lasix. On summary written as 'diastolic heart failure in the setting of fluid overload'. Do we code out I50.9 and E87.7 or just one or the other (and which one)? b) Patient admitted with acute fluid overload, has a p... (December 2006) read more...

3364 - Acute kidney failure in a renal transplant patient
In Ninth Edition an amendment was made to the classification regarding kidney transplant failure/kidney transplant status including Revision of ACS 1438 Chronic kidney disease to include the published classification advice regarding kidney transplant failure/kidney transplant status and addition of index entries to support code assignment. Can VICC please provide guidance on how to code acute kidney failure in the following scenarios? a) The pati... (June 2018) read more...

2723 - Acute kidney injury
Clinicians at our hospital have started to document acute kidney injury (AKI) for patients who have acute renal failure (ARF). We have also started to see them respond to documentation queries with the new term even when we ask whether the patient has ARF. Literature explains that acute kidney injury has now replaced the term acute renal failure. If you were to follow the index, you will end up with an injury code: &nb... (September 2012) read more...

2380 - Acute myeloid leukaemia secondary to myelodysplastic syndrome - retired 30/6/2015
Coding a patient who has Acute Myeloid Leukaemia (AML) documented as secondary to myelodysplastic syndrome. Index look up leads to C92.0- and M9871/3 but index also leads to same code under AML without prior MDS, which would appear to be an index error: Leukaemia: -myeloid (M9860/3) C92.9- --acute NOS (M9861/3) C92.0- ---with ----abnormal marrow eosinophils (M9871/3) C92.0- ----maturation (M9874/3) C92.0- ... (June 2009) read more...

2766 - Acute on chronic cholecystitis not with cholelithiasis
Can the Committee please clarify the coding of acute on chronic cholecystitis not with cholelithiasis. When there is a final diagnosis of acute on chronic cholecystitis, can both these codes be assigned? There is some confusion here surrounding the advice in 10-AM Commandment Volume 12, number 4 titled Cholelithiasis with acute on chronic cholecystitis which says: There has been confusion regarding the correct code assignment for this condition as there are ... (March 2013) read more...

3162 - Acute renal failure (ARF) with chronic kidney disease (CKD) supplementary code - retired 31/5/2021
Please advise when to code active vs supplementary code in the following scenarios: Scenario A: A patient is admitted with a diagnosis of Acute Renal Failure. The patient also has a documented history of Chronic Kidney Disease. The eGFR levels are monitored throughout the admission but there is no further mention of management of the CKD. Question: Is it reasonable to assume that CKD is being monitored by the fact that the eGFR levels are being monitored, a... (March 2017) read more...

2573 - Acute renal failure secondary to E.Coli Sepsis
Patient diagnosis on discharge summary states Acute renal failure secondary to E.Coli Sepsis. There is no documentation in notes of severity of sepsis, ie SIRS, septic shock or severe sepsis. In the body of the progress notes pneumonia is documented, as well as E.Coli Sepsis ?source biliary disease. Also acute renal failure/hepatic failure secondary ?sepsis. No documentation of pneumonia on the discharge summary. As it is unclear what the loc... (March 2011) read more...

3300 - Acute respiratory distress syndrome
Research undertaken indicates that the terminology of 'Acute respiratory distress syndrome' is synonymously used with 'Adult respiratory distress syndrome'. As there is no Index classification for acute respiratory distress syndrome, could VICC please advise if it is correct to assign J80 Adult respiratory distress syndrome when we have documentation of "Acute respiratory distress syndrome"?... (March 2018) read more...

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