shock bone marrow?

kerryseekircherkerryseekircher
in CDI Talk Archive
I have this documented:
Thrombocytopenia
Plan: Multifactorial, shock bone marrow, medication,chemo, sepsis
platelets still low despite transfusions.
will cont to transfuse of platelet count

Comments

  • catladyrncatladyrn
    I don't know for certain since I'm not seeing that chart, but especially since it's listed under the plan and not the diagnoses, could they be talking about using shock wave therapy on the bone marrow? It can be used to promote stromal cell growth in bone marrow.

    Renee

    Linda Renee Brown, RN, MA, CCDS, CCS, CDIP
    Director, Clinical Documentation
    Tanner Health System
  • kerryseekircherkerryseekircher
    edited April 2016
    Thanks Renee. In this case, they are definitely using it as a diagnosis.

    Kerry Seekircher, RN, BS, CCDS, CDIP
    Clinical Documentation Program Manager
    Northern Westchester Hospital
    400 East Main Street
    Mount Kisco, NY 10549
    Email: kseekircher@nwhc.net
    Phone: 914-666-1243
    Fax: 914-666-1013



  • jrileyjriley
    edited April 2016
    I believe the provider is commenting on the severely debilitated state of the bone marrow in this patient. It sounds like a query is in order for the provider's best guess as to what is causing the bone marrow suppression. We often discuss this vague kind of terminology face to face with the providers to learn more about the clinical picture of the patient. It not only educates us as CDS's and coders, but usually helps us find a codeable condition.

    Judy

    Judy Riley, RHIT, CCS, CPC
    Coding/CDI Manager
    AHIMA-Approved ICD-10/PCS Trainer
    LRGHealthcare
    Lakes x 3315



  • charlenet@chaduath.comcharlenet@chaduath.com
    edited April 2016
    There is an article out there: http://www.ncbi.nlm.nih.gov/pubmed/15963204 which speaks of 'shock marrow'.
    Another one in relation to marrow failure http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1356155/.



    Charlene Thiry, RN, BSN, CPC, CCDS
    CDI Consultant
    Phone: 913-796-5944
    charlene.thiry@TrustHCS.com
    www.TrustHCS.com

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