3rd spacing

mstanleymstanley
in CDI Talk Archive
Can anyone help me find the codable term for 3rd spacing-something that will capture the severity? Thank you! Martha

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    There is no code for the term 3rd spacing as this is not a recognized disease in ICD - one would code any consequences of 3rd spacing, such as hyponatremia. You would also code the etiology, such as ascites, bowel obstruction, burn, pancreatitis, peritonitis, and so forth.

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002
    Fax:  415.600.1325
    Ofc:  415.600.3739
    evanspx@sutterhealth.org
  • megan.bartonmegan.barton
    edited May 2016
    3rd spacing is compartment syndrome. If it is a secondary Dx then it is a CC.


    Megan Barton RN, BSN
    Manager Clinical Documentation Improvement
    Health Information Management-Mercy East
    Ph: 314-251-6192
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    3rd spacing must be documented as having caused compartment syndrome, otherwise the rules preclude one from reporting compartment syndrome. It 'usually' involves swelling from the accumulation of fluid in an 'abnormal compartment', but the condition of compartment syndrome can't be assumed.


    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002
    Fax:  415.600.1325
    Ofc:  415.600.3739
    evanspx@sutterhealth.org
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