...

Diagnosis

🤔 Question: A patient presented with a contact burn injury from a muffler, but was also dragged by the vehicle that ran them over. They have an obvious third-degree contact burn to the abdomen and thigh and cutaneous injury in other parts of the body that are more consistent with friction injury. For the Lund and Browder portion of BCQP, is the TBSA% of the area with the obvious contact burns recorded and not the areas with presumed friction injuries? Then, for the diagnosis, is the third-degree burns coded to the obvious areas of contact burns and then abrasion for the areas with friction injuriesIs a pneumothorax a diagnosis at the time of injury or complication post-injury?

🌱 Answer: Only record the burn injuries on the Lund and Browder portion of the BCQP or other platforms. Do not record the non-burn friction areas on the Lund and Browder if the patient also has burn injuries as that will skew the burn data. The only time it is acceptable to record non-burn areas in the L&B chart is if the patient has no burn injury at all. In these circumstances, the case will not be pulled for burn for analysis, so it will not affect BCQP reporting (non-burn injuries are filtered out of TBSA analysis).
For Diagnosis Codes, record both the burn codes and the abrasion for the friction burns (non-burn codes). It depends on when the pneumothorax occurs. If it occurs as part of the injury process and is present on admission, it is a diagnosis. If it occurs after admission, for example as a complication of a line insertion, it is a complication.

ICD 10 Diagnosis

🤔 Question: A patient presented with a contact burn injury from a muffler, but was also got dragged by the vehicle that ran them over. They have an obvious third-degree contact burn to the abdomen and thigh and cutaneous injury in other parts of the body that are more consistent with friction injury.

For the Lund and Browder portion of BCQP, is the TBSA% of the area with the obvious contact burns recorded and not the areas with presumed friction injuries? Then, for the diagnosis, is the third-degree burns coded to the obvious areas of contact burns and then abrasion for the areas with friction injuries?

🌱 Answer: Only record the burn injuries on the Lund and Browder portion of the BCQP or other platforms. Do not record the non-burn friction areas on the Lund and Browder if the patient also has burn injuries as that will skew the burn data. The only time it is acceptable to record non-burn areas in the L&B chart is if the patient has no burn injury at all. In these circumstances, the case will not be pulled for burn for analysis by BData, so it will not affect the analysis BCQP reporting (non-burn injuries are filtered out of TBSA analysis).
For Diagnosis Codes, record both the burn codes and the abrasion for the friction burns (non-burn codes).

🤔 Question: Should complications entered into the Outcome Complications fields also be entered as ICD 10 codes in the Diagnosis field?

🌱 Answer: Complications entered in the outcome Complications fields may be entered in the ICD 10 diagnosis fields but do not have to be entered.

🤔 Question: If a patient, suspected of being abused, also has a fracture in addition to being burned, should the fracture be added in the diagnosis section?

🌱 Answer: Yes, you should add all the diagnoses on the patient, burn and non-burn, regardless of whether the patient is suspected of being abused.

Co-morbid Conditions

...

🤔 Question: Is the mental health disorder condition in comorbid conditions going to have an option to describe the disorder in BCQP?

🌱 Answer: In 2025, there will be an additional field value option - “Other (Specify)”. This will allow you to add additional conditions not listed.

ICD-10 Concomitant Injury Diagnoses

...