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major procedure with identified risk factors

Amy Posted Wed 06th of November, 2019 07:01:36 AM
please give me some examples for planned major procedure with identified factors.
SuperCoder Answered Thu 07th of November, 2019 07:50:53 AM

Hi,

 

Planned surgery with identified risk factors is any surgery that is not immediately required when the patient does have comorbid conditions that will increase the risk associated with the procedure, healing and/or anesthesia. Common risk factors include diabetes (affects healing; also patient must be NPO [Nothing by mouth] before surgery and often cannot eat for a while after surgery, so blood glucose must be closely monitored), COPD (increased anesthetic risk), tachycardia with or without pacemaker (many common surgical tools (e.g., electrocautery) can trigger a tachycardic event, and if the patient has a pacemaker, it must be turned off during surgery). There are many other risk factors, including drug allergies, previous poor anesthetic outcome, morbid obesity, etc.

 

Hope this helps!

 

Thanks

Amy Posted Thu 07th of November, 2019 23:22:39 PM
provider in surgery note discussing respiratory insufficiancy\failure, other organ injury, convert to open surgery, infection and possible death etc. can we consider these as risk factors?
SuperCoder Answered Fri 08th of November, 2019 09:23:49 AM

Hi,

 

Risk factors apply to individual. All surgeries carry some inherent risk. The conditions like respiratory insufficiancy\failure, other organ injury, convert to open surgery, infection and possible death etc will be considered risk factors.

 

Please also check below link:

https://www.supercoder.com/coding-newsletters/my-cardiology-coding-alert/em-mdm-level-may-depend-on-proper-table-of-risk-selection-article

 

Hope this helps!

 

Thanks

Amy Posted Tue 12th of November, 2019 01:00:47 AM
thank you
SuperCoder Answered Wed 13th of November, 2019 00:30:33 AM

Thank-you, happy to help.

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