ICD 10 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 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, 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).

🤔 Question: A patient presented with a contact burn injury from a muffler but 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 (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.

Co-morbid Conditions

Description of Conditions

ICD-10 Concomitant Injury Diagnoses

🤔 Question: How do you differentiate between ICD 10 Diagnosis Codes and ICD 10 Concomitant Injury Diagnosis Codes? For example, if you have a burn patient come in with shock and lactic acidosis, how would you sort these when entering them into the registry?

🌱 Answer: ICD 10 diagnosis codes are for the burn and non-burn (TEN, Necrotizing Fasciitis, etc.) diagnoses. Concomitant Injury Diagnoses are related to all other identified injuries which occurred at the time of the burn or non-burn injury. If conditions like shock and lactic acidosis are related to the burn injury, you would enter these under the ICD 10 diagnosis codes.