Neonatal ICU Chart Reviews
The following are some of the common diagnoses that help move the DRG on our neonates. If anyone is an expert, can you please share any other common secondary diagnoses that I might be missing?
RDS, Acidosis, Alkalosis, all electrolyte disturbances (hyponatremia, etc..), sepsis, pneumonia, pneumothorax, IVH....
Nine times out of ten, these babies have numerous secondary diagnoses and it is a no brainer. I am reading a case now with a very low bw, and the stay was almost two months... but it's going to a low weighted drg. Sometimes, it is what it is, but I can't help but feel like I MUST be missing something!
Thanks,
Kerry
Kerry Seekircher, RN, CCDS
Documentation Specialist Supervisor
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
RDS, Acidosis, Alkalosis, all electrolyte disturbances (hyponatremia, etc..), sepsis, pneumonia, pneumothorax, IVH....
Nine times out of ten, these babies have numerous secondary diagnoses and it is a no brainer. I am reading a case now with a very low bw, and the stay was almost two months... but it's going to a low weighted drg. Sometimes, it is what it is, but I can't help but feel like I MUST be missing something!
Thanks,
Kerry
Kerry Seekircher, RN, CCDS
Documentation Specialist Supervisor
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
Comments
It is AP-DRG/Commercial payer. The weight is between 1500-1999g at 31-32 weeks gestation. I should clarify that this is a low bw at my facility-I'm thinking we transfer most babies with lower bw's.
Thanks,
Kerry