FAQ's

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Page 177. Codes for REBOA , what is the definition for the word Temporary in this scenario?

Page 138. Was mass transfusion protocol initiated? We are assuming there is not a number of units of blood required with this...

I understand to exclude isolated hip fxs with no other injuries besides contusions and abrasions, but what about...

If we enter an EMS affiliate number that is not stored in Collector it gives an error message on V5. So is it best to add...

Please help us to clarify how to handle this situation. We had a patient brought in (pedestrian struck) who was resuscitated...

EMS ambulance was on its way to LZ at Tyler Memorial Hospital from the scene, they arrived a few minutes before helicopter...

What is the process for records that initially were identified and abstracted as PTOS and transferred to you, but really...

When is PA slated to transition to AIS 2015?

We have a patient who has an epidural hematoma within the posterior thoracic epidural space. It is very difficult to...

On the Validation Detail Report are LEVEL 2 ERRORS in the NTDX with the message “ Field should not be “Not Applicable” as the...

When running the Vendor Aggregator Process, 2 previously deleted cases are showing as LEVEL 1 ERRORS in the NTDX with the...

I have a question on LOC and GCS. Can the registry use when the patient is not following commands (best motor response < 6)...

Unless the patient arrives with a positive etoh level, how can you be sure of the time of the cessation of alcohol...

Discharge destination--patient was discharged to hospital outside the United States. He was transferred to Hospital General...

If a patient fell in their apartment at an Assisted Living facility Do we code it to non-institutional (private) residence or...

I have a question RE: a trauma pt that for some reason was not put in collector from Jan. It was just found that he was not...

I was always under the impression that if a patient leaves the ER for a diagnostic test (x-ray, CT scan) and does not return...

I’m having trouble deciding what to do with a chart I am working on.The patient was transferred from one outside facility to an

I was wondering if you could clarify for me more about Transfer Out in regards to PTOS status. For example, a patient arrives...

Can I send you an Operative Report for assistance with coding?

Question for you, is there a “best” code for replacing the partition of the skull that was taken off in craniectomy?

I am trying to code an electrical burn, and I cannot get an AIS code of 080000.2. Can you assist?

Can you provide some guidance on the following scenario please? Patient’s admit order was written at 4:26 but no beds were...

Scenario: You have a patient with an order written for ICU or Stepdown but there were no beds at the time. Patient holds in...

I have a questioning regarding a patient that we have. Patient admitted 12/21/2018. The patient continues to remain in our...

We recently received a patient that had an MVC. All hospital documentation states that the patient lost control of her...

I’m emailing you to ask about the status of our site’s recent uploads to PTSF. Including today’s submission, our last 10...

What is the email that we are supposed to send questions to? That way, we can send it correctly instead of sending them to...

Is there someone that can verify that the PAV5 outcomes files that I have submitted are done correctly?

In this example, is it correct to code “brain edema”? (see highlighted portion). In discussion with my nurses, I was told...

Bilateral subdural hematoma if one is tiny and one is large if we want to code both will only the large one interface to...

I have a patient who was rear ended while on a bridge. There is no location code for bridge, should I code it as unspecified...

I have a question about nasal bone fractures. Does it have to say open nasal bone fracture. I currently have a patient that...

Could you please clarify a question regarding Alcohol use disorder for comorbidities? Does it have to state “ disorder” to...

I am still working on the audit filters on the quarterly report and am confused with Filter 10 regarding patients with EDH...

When someone has for example, Highmark Medicare (Freedom Blue PPO plan 378), do you use #2—Medicare Managed Care or #6...

If a patient is intubated and sedated, do we still need documentation of motor power of extremities or documentation that...

Can you look at this scenario and tell me what you’d do? Patient came in on 03/06 @1703 after a fall from lift chair – dx...

We have noticed in the PTSF procedure section that the code for a Bronchoscopy with Lavage is listed as 0B9...

We had a 22 year old patient that was a direct admit to the Orthopedic Service last night that fell while doing a handstand...

I have a question regarding an occurrence. Wound infection. Patient was a GSW. On hospital day 8 he had purulent drainage...

Are you able to define what location is “the resuscitative phase” for audit filter 3a?

At XXXX Hospital, we recently noticed that when we put “unknown” for a patients date of birth that came in as a John doe...

I am working on a case for a patient that had a syncopal fall from a toilet at a restaurant on XX/XX/19. He was seen in ED...

I have a question regarding direct admits and the administratively discharged time. According to the Data Dictionary for...

If we have a patient with burns but our physician does not document a percentage and the patient was transferred out to a...

How do I register for a course on the new elearning site?

When a patient has a loss of consciousness but NO concussion or other traumatic injuries, would the LOC be coded?

We were discussing the Nutritional Assessment under the “Clinical” section. In the past it was verbally stated to us that...

Would rib plating for fracture stabilization be considered intrathoracic surgery for the Audit Filter #13?

Do you consider Cardiac Cath doctors Other, Surgical –or- Other, Non-Surgical?

I have a patient who went to a “VA hospital” and was sent to our facility for frost bite. Are VA facilities considered...

In looking at the new examples in the dictionary for Unplanned Admission to the ICU, we’re having some disagreements on what...

Patient was injured at an unspecified place, for simplicity purposes let’s just say it was home. He then walked to the EMS...

If a patient is on a floor and needs MAP goals monitored and the only place they can do that is ICU is that an unplanned...

A change this year was that EMS needs to state trauma center triage criteria and what it is. Some of our trip sheets do not...

A 3 year old got his finger caught in the hinge of an ottoman. The parents drove him to our ED where they found an open fx...

We believe we may have found a mapping issue with Collector into NTDS; When entering J.11 Cerebral Palsy (CP) as a...

Would it be possible to get some clarification on: 12. Facial Trauma (Ocular) Does this category include Ocular ONLY or...

I am aware of that the AAOx3 is not equivalent to GCS 15, but for Verbal scale, would it be ok to use “oriented” from the AAO...

This 76 year old was found down next to her bed by family. She was brought to our facility as a Trauma Response. After work...

Is there a code we should be using for touriniquets?

I have a question for you in regards to Discharge Destination for our Level IV’s. If they are transferring out a patient...

I am aware of that AAOx3 is not equivalent to GCS 15, but for Verbal scale, would it be ok to use “oriented” from my...

I am receiving a check for Date and Time Administratively Discharged from the ED when I record N/A for a direct admission....

On the dx. Screen when we enter a dx with an “@” sign – do you see that on your end? For example @ CHRONIC SDH.

How should a 1.2cm acute on chronic SDH be coded when the measurement includes both the acute and chronic portions of the bleed?

How should diagnoses found on an autopsy report be recorded in Collector?

The medical record states a John Doe's DOB is 1/1/1901. What should I record in Collector?

Have the quarterly reports for Q4 2018 been sent out yet?

Since I have the autopsy, and brain stem is injured, can I code: GSW Brain Stem?

Should the dual code for CT of the head and neck be used if two separate CT's are ordered?

Do the new non-validatable checks apply to non-PTOS patients as well?

Are we to be entering the size of the midline shift in a head injury on the diagnosis screen of Collector?

Should thoracic spinal fusion be captured as intrathoracic surgery?

Can you assist with a prehospital scenario?

What do I do when I run out of space for pre-existing conditions?

Question – on our old policy it states the registry is to have a plan for inter rater reliability. The orange book recommends...

My patient is a prison inmate. He reports having a seizure and hitting his face on a desk as he fell to the floor. He was...

We had a patient flown in here from St. Croix (the island). He was seen in the ED down there and then flown here. Would his...

Under primary cause of injury x58.xxxa is listed to use if mechanism of injury is unknown. Does this apply to abuse only...

I am working on a case for a patient that received 0 RBC the first 4 hours but received Platelets and Cryo. The RBC box in...

Could you please clarify the 2019 Hispanic Race. On page 20 is states if Hispanic is given as a response, enter unknown,...

Can you please provide me a facility number for XXXXX hospice?

I sent an e-mail to the escalation DI e-mail account, but it does not appear my issue has been expedited. Can you help?

I wanted to ask if pt has following Dx, do I code both or just the ICH?

A burn to chest & rt arm TBSA 3 % is not a PTOS pt right?

I'm working on a patient who is a complete SCI. The Physical Medicine and Rehab MD filled out the ASIA score sheet and coded...

Could you please clarify under advance provider who you define as a trained health...

For the new Antibiotic Therapy elements, must the antibiotic be given intravenously?

I am still closing charts with 2018 admission dates, but I have the 2019 software installed. Since the Units of Blood...

If the patient meets the coagulation abnormalities and the transfusion of components, must “uncontrolled diffuse bleeding” be...

What E-Code would be used for a patient that sustained blunt trauma to the chest after being struck by an aerosol tank that...

If a patient was admitted to ICU, remained there for a few days and an order is written to transfer to a floor but patient...

Do the words “pathological fracture” need to be documented? Here is my scenario: I have a paraplegic who has a closed...

What is the definition of a trauma patient for audit filter #1? Does this audit filter exclude burns?

We see that hyperthermia was crossed off as an exclusion; so does this mean that we are to pick these up now if there are...

Patients transported in/out via private vehicle and do not meet another portion of the inclusion criteria are not to be...

A patient has 11 bloods given (combo of PRBCs, plasma, cryo, etc). Would each of these individually be coded into the...

Should we be entering the ED doc’s arrival as the time of patient arrival since “date and time arrived can never be prior...