Mult sig truama

katysuegood@gmail.comkatysuegood@gmail.com
in CDI Talk Archive
For the multiple significant trauma DRGs, are CC/MCC's that are associated with the codes that are making the patient meet criteria for this DRG excluded?
So for example: I have a trauma with a pdx of a spinal fx that also has an open fx of the radius/ulna. This is an MCC but it is also one of the two 'significant body site' injuries. When I put it in the encoder we do not get the DRG with MCC. I am assuming this is because you basically do not get 'credit twice' for this dx (you are already using this dx to get into a highly weighted DRG) but I want to make sure I am not missing something...

Thanks!

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404

Comments

  • vanessa.falkoffvanessa.falkoff
    edited April 2016
    We call that double dipping :) I don't think it will work!

    Vanessa Falkoff RN
    Clinical Documentation Coordinator
    University Medical Center of Southern Nevada
    1800 W Charleston Blvd
    Las Vegas, NV
    vanessa.falkoff@umcsn.com
    office 702-383-7322

    Compassion * Accountability * Respect * Integrity

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    Ha! Thanks, that's what I was thinking but I wanted to make sure the reason was right before I gave feedback on the chart (this is one another CDI sent me).



    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404
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