Diagnoses Archives - Page 2 of 2

Effacement of the basilar cisterns. Would this also be considered edema of the basilar cisterns?

This could be used to code cerebrum brain swelling. Partial effacement would go to moderate; compressed – 140664.4, while complete effacement would go to severe; absent/obliterated/closed – 140666.5. I wouldn’t use edema unless the provider notes as edema.

If you have a patient that had a (closed) displaced mandible fx, this will code as an open fx and the question for antibiotic administration becomes valid. Are all displaced mandible fxs considered open – even though this one clearly states closed? I do see in the AIS manual that open/displaced/comminuted all fall into the same category. This causes a message that pops up “based on AIS codes, this record may meet open fx criteria”. I know we can validate this but then it does not populate the NTDS side appropriately when we have “does not meet criteria” marked. On TQIP side, we then get an inclusion criteria – level 2 error message – Element must not be NA as AIS codes provided meet the reporting criteria. We would then have to exclude this chart. What would you suggestion be to make this record work?

If you have an AIS code recorded that falls within the defined coding criteria for these fields, you will need to answer the antibiotic elements as if there is an open fracture present for both PTOS and the NTDB. This criteria is provided by the NTDB/TQIP, and we understand sometimes it is not perfect as …

Continue reading “If you have a patient that had a (closed) displaced mandible fx, this will code as an open fx and the question for antibiotic administration becomes valid. Are all displaced mandible fxs considered open – even though this one clearly states closed? I do see in the AIS manual that open/displaced/comminuted all fall into the same category. This causes a message that pops up “based on AIS codes, this record may meet open fx criteria”. I know we can validate this but then it does not populate the NTDS side appropriately when we have “does not meet criteria” marked. On TQIP side, we then get an inclusion criteria – level 2 error message – Element must not be NA as AIS codes provided meet the reporting criteria. We would then have to exclude this chart. What would you suggestion be to make this record work?”

Looking for help with codes for “small interpeduncular cistern hemorrhage”. Software is populating AIS code 140210.5 brain stem hemorrhage, and ICD 10 S06.389A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of NOS duration, initial encounter.

Interpeduncular cistern does code to brain stem. In the AIS clarification document from October 2019 they have“Interpeduncular fossa (cistern) basal cisterns code as injury involving hemorrhage in the brainstem;” The ICD-10 code has hemorrhage of brain stem also.I would note any specifics related to LOC if you have documentation, as it will assume the LOC …

Continue reading “Looking for help with codes for “small interpeduncular cistern hemorrhage”. Software is populating AIS code 140210.5 brain stem hemorrhage, and ICD 10 S06.389A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of NOS duration, initial encounter.”