trauma room

Fall in (into) shower or empty bathtub is coded to W18.2XXA. This code does not fall within the solitary hip fracture exclusion; therefore, the patient should be considered for PTOS.

That is correct! The patient meets the criteria because they were injured within 14 days of the initial hospital encounter.

These exact scenarios are why PTOS previously excluded transfers via private vehicle as transfer patients. However, per the current guidelines, yes, this patient would be considered a transfer in as long as the documentation supports that the patient was to go via private vehicle from the OSH to your institution.

That’s correct, any time in ICU (plus a qualifying diagnosis) is PTOS. Assuming your patient has a diagnosis, they would be picked up as PTOS.

Yes, these are the challenging cases. The idea is to exclude patients for whom your team has ruled out traumatic injury. If your team is transferring and has not ruled out injury, then include them. For example, you may not do imaging on peds patients that transfer out, the receiving facility will do it and …

The patient would be NPTOS for the second encounter. This applies to existing injury and newly identified injury attributed to the same traumatic event.

I agree with you capturing this patient as PTOS and recording them as a transfer out since all of your documentation appears to indicate the patient was to go to the OSF via POV. Starting with 2021 admissions, the requirement for patients to go from one acute care facility to another via EMS or air …

Since this patient is a transfer in, you will include this patient as PTOS. A patient that meets the PTOS inclusion criteria prior to the order for hospice care, or the equivalent, should be captured as PTOS. If the patient would have come directly to your facility, they would have been excluded.

This is a good question. Since the abrasions are not injuries that fall within the accepted PTOS ICD-10-CM code range, this patient should be excluded from PTOS. Note the following isolated injuries are excluded from PTOS:S00, S10, S20, S30, S40, S50, S60, S70, S80, S90, *T68, T71.1 and T75.1 are excluded if no otherinjuries are …

The reason for this inclusion/exclusion guidance is to ensure consistency statewide. It is our hope that this guidance will eliminate hospitals making differing determinations using variables that are not part of the inclusion criteria. You only need to pick them up if they still have a qualifying injury diagnosis. If the patient has a diagnosis …