FAQ's

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I just came across a procedure I have never heard of and certainly never coded …. a lung pacer... I have researched the...

What do you think would be the best mechanism code to use for this scenario? Pt taped .44 ammo to a BB gun and shot himself...

I have a question about Cardiac Arrest with CPR. This pt. arrested upon landing on our roof helipad and arrived to the trauma...

There is a Pilot project through EMS in our area that is having EMS start IV abx for open fx patients in the field. For the...

I have a patient that was seen at one of our sister hospitals for an open fx and then transferred to us, but the patient came...

I have a nursing home patient who presented with + COVID test results documented at their facility from a week prior...

If a patient is ascending a staircase and he trips and falls forward, how would height be determined?

Unplanned Intubation: If the MD intubates a patient as he feels that early intubation is the best course of action does that...

I have a nursing home patient who presented with + COVID test results documented at their facility from a week prior...

I am having difficulty assisting the new registrar with a procedure code for CT angio of the upper extremity to look for...

I was hoping I could receive some help from you, we need assistance with the linkage number. We couldn't determine what that...

If someone is on methadone for substance abuse, has been clean for 2 years I would put yes for prescribed medication...

Ok we are trying to get a better understanding of the inclusion vs exclusion criteria for the PTOS patients. On page 14...

We had a patient that came in with known pleural effusions present on admit. We admitted for spinal fxs. Over the course of...

If I have an Amish patient who was helping a group of other Amish men to repair a neighbors barn when he got hurt would you...

We have a question about the abuse field. Are we to answer this yes or no by the screening done on everyone or is this only...

Hoping you can help with this scenario? . I have a patient that arrived by EMS and has the ED Arrival Time as 0044....

Can you please clarify how to correctly code an acute on chronic head injury? For example, radiology report states “Mixed...

For the pre-existing condition CAD, would documentation of “coronary atherosclerosis” and/or “atherosclerotic vessel disease”...

How am I to code abuse for the NTDB?

How do I assign a facility ID in my editable drop down menu? What happens once this number is added in Collector to the main...

Could you please clarify : If a patient is in the ICU (5/22) and d/c from the ICU on 5/24 However, goes to OR 5/23 Do you...

I have a patient who was the driver of a pickup truck that slid on ice and hit a pole, patient attempted to driver home, his...

If a patient is awake and alert talking to the BLS ambulance crew at the scene but they do not have a GCS documented, I know...

I have a quick question regarding an ICD 10 procedure. Would a right hip hemiarthroplasty be given the code for "replacement...

Our registry had a question that came up during a discussion about highest level of care provided on scene. The definition...

A patient arrives in arrest and remains in arrest and dies in the ED. There is not a note that is clearly documented as GCS...

I have the following validation error: ICU + Step Down Days cannot be greater than total hospital days. Patient was...

What is the best ICD10 code for EVD placement. 00H632Z OR 0096030Z? The guidelines suggest 00_6, but both of these codes...

Scenario: Patient loses control while riding a dirt bike. Was wearing a helmet (but improperly). Helmet comes off during...

I want to make certain I am coding this correctly. I know effacement equals compression as listed in a previous FAQ...

Do you consider a nasal bone fracture (251002) an open or closed fracture?

I have a question about a tension pneumothorax. My patient came into our facility with bilateral pneumothoraxes on 2/24/20...

If we have a patient that fell because they “stepped on soap” causing them to slip and they had only an isolated hip fx...

I’m writing the guidelines for our registrars to include covid or suspected covid within the injury narrative. My question is...

When I login to the PSTF education hub to view courses-the only courses available are a Basic Registrars course and an...

If a patient comes into the Trauma Center and the ED Discharge Destination is the Operating Room, could this be counted as...

In regards to the Hospital Event Delirium, does Catatonic count? I feel like so many patients can have this as an event...

Our PI is questioning the reasoning for a patient that was put No for the question Is there hourly documentation beginning...

I have a question related to the Hospital Event #212 Unplanned Visit to the Operating Room. We had an unplanned operative...

We had a chart where the Resource Coordinator from the Behavioral Heath team spoke with patient and family. How would we...

I recently contacted AAAM in regards to criteria for a question on LeFort fx's and if having the specific facial fx's listed...

I have a question regarding a patient that was an MCC with a partial amputation with multiple open fractures. Our PI nurse is...

Am I remembering correctly that we are to start collecting on cases with an admission date of April 1, 2020? Is that for both...

Mechanism of Injury in cases of abuse

When should we be picking up MTP?

Question regarding Organ Donation

If we have a patient that is going home (SBF) but on Hospice. How do we answer Discharge Destination?

Do we need to answer question on additional NTDB elements re: transfer to NTDS?

I have an OR note that states that a tourniquet “applied” but not inflated at all during OR”. Do I pick it up?

I am trying to code a burn of 9.5% but it is rounding up and applying an incorrect code for 10% + burn?

Can I ask for a quick clarification on the Unplanned Visit to the OR?

Question on Multiple Procedures: Bladder Repair

Do you know of any specific references describing ISS and mortality prediction?

Can you give me a little info on the AIS 2015 and how it will affect current registrars?

Who uses the data that PTSF collects?

Can we close 2020 records before having the updates installed ?

Can you tell me what “other” refers to in the Core Measures report under ED Response?

Change in recording GCS qualifiers in 2020

Blunt vs. Penetrating for blast type injury from firework

We have a patient transferred in from another facility via EMS who only has a FFS isolated hip fracture, would she be PTOS...

I have a patient that was discharged back to her supervised residential facility and do not see the location in the facilities..

We had a meeting yesterday to go over the changes for the 2020 patients and we have a few questions.

I was hoping you could help us clarify when a patient gets injured while jumping on a trampoline. ...

This patient went to a OSH after wood “kicked” back into his abdomen - was seen, admitted, followed by surgery at OSH...

So the concern is PTOS vs NonPTOS: 50 yo Male puncture wound to right index finger

Can you please clarify the element “called” in consults. The collector has only call time, we have some confusion when call was.

If patient expired in ED and no insurance info on file, do we select Unknown or selfpay?

In the case of a patient that fx’s a bone, Ortho signs off saying that the patient can be treated as an outpatient and can be...

Question, does nonsustained VT meet Major Dysrhythmia definition? The manual has examples, that include sustained, which now...

We had a patient today who fell and dislocated their HIP PROSTHESIS. My brain tells me to pick this patient up – it is a...

We have a 7 week old baby who presented to ED as a “fall”. The ED suspected abuse, did 2 scans – which identified no injuries...

We have a patient who is a GSW to the head. The registrar coded correctly, 140692, >2cm penetrating to the Cerebrum but we...

At our facility, we used to collect the vital signs documentation on a quarterly basis. At the Fall conference, it was a...

I have a question in RE: to primary & secondary cause of injury on a particular pt. He fell 3’ from a ladder onto metal...

When being discharged from the ED, patient had a syncopal fall and required CPR. Patient was then admitted to ICU for cardiac...

for the Abuse question…we always end up in discussions about this… are we looking at Kids and Elderly and other protected...

For the comorbidity of Social Anxiety…must it be just Social Anxiety? And does mention of prescribed meds/therapy for the...

Can you give any more clarification about the Delirium event? We are trying to clarify this for patients who sundown, patients w

Is a wheelchair transport van that brings a patient from another acute care facility now considered a transfer in? Or no?...

I have a patient that was intubated for his OR procedure only. Was extubated and stridored, requiring re-intubation. This...

If I have a patient who could not have chemical DVT Proph and they placed an IVC filter instead should I be capturing that...

Pt sustained GSW to thorax & abdomen area. Pt has “hole in the central tendon of diaphragm” No measurement is given. Would...

Could you please provide your expertise on this case below. 26 YO M Right elbow distal humerus fx after throwing a softball....

We have a unique situation that we need clarification on. A patient came to our facility after a fall, had care, and the...

How is timeliness of submission plotted on the control charts we receive?

We had a patient that was ~ 32 weeks pregnant come into the trauma bay as the result of an MVC. A C-section was performed...

We have a pt who was discharged to Bucks County Correctional Facility Mental Health Unit, do you have a facility number for...

We have had more patients getting transferred in from our sister hospitals. Under the prehospital tab, would that be the...

We had a patient that went to the or for a hip. The ortho MD put him in icu after to be watched more closely. The order he...

If I have a patient that was unrestrained per the pcr and there is no mention of the air bags how would you answer the...

I have a situation where a patient fell and a week later called the ambulance to be taken to the hospital. The patient is a...

Do you have an accurate number of data elements the registrars enter per case?

There was a patient who suffered a GLF that was taken to our ED. The only finding from imaging was a left intertrochanteric...

This pt had a self-inflicted GSW from temple to temple with entry and exit wounds. We are having a spirited debate...

As you know, EPIC has different views and screens that everyone can see different aspects of the patient’s chart, if my...

We have a transfer in pt that d/t aortic stenosis needed percutaneous aortic valvuloplasty prior to ORIF of Lt femoral shaft...

This case fits the criteria for wound infection and dehiscence. It was also dx as a surgical site infection and fits the...

Are we required to capture procedures that are performed while the patient is admitted that are not related to trauma or the...

I saw that if you hold the CSTR certification you were awarded continuing education at the PTSF conference. How do I get of a...