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Metabolic Acidosis Icd 10

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Asphyxia In The Newborn: Evaluating The Accuracy Of Icd Coding, Clinical Diagnosis And Reimbursement: Observational Study At A Swiss Tertiary Care Center On Routinely Collected Health Data From 2012-2015

Click through the PLOS taxonomy to find articles in your field. For more information about PLOS Subject Areas, click here . Asphyxia in the Newborn: Evaluating the Accuracy of ICD Coding, Clinical Diagnosis and Reimbursement: Observational Study at a Swiss Tertiary Care Center on Routinely Collected Health Data from 2012-2015 Affiliation Student at the Faculty of Medicine, University of Bern, Bern, Switzerland Affiliation Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland Affiliation Medical Directorate, Inselspital, University Hospital of Bern, Bern, Switzerland Affiliation Department of Obstetrics & Gynecology, University Hospital of Bern, Bern, Switzerland Affiliation Neonatology Division, Inselspital, University Hospital of Bern, Bern, Switzerland Asphyxia in the Newborn: Evaluating the Accuracy of ICD Coding, Clinical Diagnosis and Reimbursement: Observational Study at a Swiss Tertiary Care Center on Routinely Collected Health Data from 2012-2015 Continue reading >>

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Popular Questions

  1. One of our CDI noted an elevated lactic acid and queried the physician for a diagnosis. The patient did not have Sepsis. Our physician advisor said not to do that because the next lactic acid was normal. She said we should also be looking for the underlying cause of the lactic acidosis and not querying for the diagnosis. A diagnosis of lactic acidosis will give us a CC. Other CDI's have said that if the elevated lactic acid was treated, monitored or evaluated we should be querying for the diagnosis. Does anyone have any direction on how this should be handled?
    Is lactic acidosis always inherent in other conditions and that's what we should focus on?
    What can we pick up the diagnosis by itself as a CC / when should we query to get to documented in the chart?
    Are there any other clinical parameters we should be looking at when evaluating whether we should query such as the anion gap?
    Is there a specific treatment for metabolic acidosis?
    Thank you,
    Christine Butka RN MSN
    CDI Lead
    CentraState Medical Center
    Freehold, NJ

  2. What a timely comment. Recently, our coding auditor suggested that we should always keep an eye out for the cc "acidosis". It seems to me that lactic acidosis could be inherent to the disease process of sepsis and therefore should not be captured. Any thoughts?
    Yvonne B RN CDI Salinas, CA.

  3. Hello all! I agree, I believe lactic acidosis is inherent to sepsis. It is one of the most important indicators that gives the clnician a clue that sepsis may be present. Our fluid administration policy was actually developed on the lactic acid result: the higher the number, the more fluid we bolused (in non-CHF patients, of course). In cases were Sepsis is determined not to be present, we will query the provider, providing they treated or monitored the acidosis in some manner
    Shiloh

  4. -> Continue reading
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