Jun 5, 2019 · Scenario: Pt cardiac arrests out of hospital, CPR for 12 min, etc., brought to ER intubated and unresponsive. Pt hypotensive, started on pressors, cardiogenic shock documented. Pt expired later same day There is an excludes 1 note for cardiac arrest and cardiogenic shock which directs us to code cardiogenic shock and not the arrest. What is the pdx then? I would have coded the cardiac arrest ...

Mar 8, 2019 · I summarized this a while back from my days working in Critical Care. I think R57.8 is the correct choice. Classifications of Circulatory Shock A. Hypodynamic shock - low cardiac index and a high-resistance vasoconstricted state. Increased oxygen extraction and lactic acidosis usually parallel the decrease in cardiac output.

Apr 12, 2010 · I currently am reviewing a chart for a pt admitted with chest pain. Pt also has a LVAD. Cause of chest pain at this time in uncertain.

Jun 15, 2011 · Cardiac Arrest 427.5 is not an MCC if the pt expires. Do not use it as a PDX if an underlying etiology is known and do not code it if the physician documents cardiac arrest to indicate the patient's death when the underlying cause or contributing cause of death is known. See coding clinics 2nd Q 1988 pg 8 & 3rd Q 1995 pg 9. Michele Goossen, RN, BSN, CHCQM Clinical Documentation Specialist ...

Nov 13, 2015 · I have a question about cardiogenic shock. Some coders reject it as a MCC because they feel it is an expected outcome of a CABG. Others are OK with shock. My argument is that ABLA, for example, is an expected outcome of a major joint replacement, but is routinely accepted as a CC.

Aug 2, 2018 · The attending is documenting acute respiratory failure due to acute systolic chf, and pneumonia. The patient was intubated and on ventilator x 4 days, treated with rocephin, zosyn, azithromycin, augmentin and treated with cardizem gtt, aminodarone, diuretics and also with vasopressors for cardiogenic shock.

Oct 8, 2010 · I look at shock as a collapse of the peripheral circulation, as manifested by critically low blood pressure readings (hypotension). A query would be indicated for shock when the patient's blood pressure is unable to be maintained by volume replacement (IV fluids, blood) and the blood pressure now requires support with vasopressors.

Jan 8, 2014 · Good morning! Help. I am having problems with a CHF query relative to the TYPE. Pt admitted with CHF exacerbation and Cellulitis. Both being treated equally.

Jul 20, 2012 · Distributive shock codes to 998.00, with or without clarification. If it's not septic, it's not sepsis. SIRS is an inflammatory response that can occur with or without sepsis, so if the physician states that it's distributive shock due to SIRS, but doesn't indicate the presence of infection--which appears to be the case in your scenario--you can't and shouldn't take it to septic shock. AKI is ...

Jun 26, 2013 · Good day to all... I have a question that I would like to ask the group. A patient is admitted to hospital with acute on chronic renal failure CKD 3 and has a history of cad and hypertension but no mention of CHF. The nephrologist is documenting acute renal failure AKI on CKD 3/ cardiorenal syndrome. What would be the DRG assigned to this patient? I appreciate any help. Thank you Barbara ...