ICD-10 Codes in the PCR

AngelTrack collects the ICD10 codes representing the crew's impression of the patient, plus any acute symptoms and injury causes the patient is experiencing.

The codes are set by the attending, and then reviewed (and perhaps revised) by QA. Afterward, they are used for these purposes:

Code Determination by the Crew

On the PCR Assessment page, AngelTrack collects these ICD10 codes:

If a patient has prior transports, a blue icon appears which will fetch the ICD10 code list from the patient's most recent non-emergent transport; likewise a red icon for the most recent emergent transport. Using these icons, once a patient has an accurate ICD10 code list in place, it can be easily carried forward to future dispatches.

Requiring Codes from the Crew

If you wish, AngelTrack can require crews to provide ICD-10 codes before submitting their report to QA. On the "Preferences" page under Settings you can enable these options:

☑ A primary impression (ICD-10 code) must be recorded for all BLS+ calls.
☑ Acute symptoms (ICD-10 codes) must be recorded for emergent and ALS+ calls.

When those options are not checked, then the crew can -- if they wish -- submit their report to QA without providing the codes.

Code Determination and Review by QA

During QA review, the acute symptoms list is shown to the reviewer, and editable. If the codes provided by the crew are missing or incorrect, your company policy can dictate what the QA reviewer does: fix the codes on behalf of the crew, versus fail the report so the crew can fix the codes (there is a QA objection category for this).

If QA does the fixing, the reviewer has use of the same and buttons to fetch the acute symptom lists from the patient's prior non-emergent or emergent runs.

In any event, once the proper symptom lists (emergent and non-emergent) are in place, crew members and QA reviewers can thereafter re-use the lists again and again.

The Built-In Code Lists

AngelTrack has built-in lists of high-level (mostly .XXX) ICD-10 codes that are relevant for an EMS PCR:

These code lists are recommended by NEMSIS…, but the lists can be edited and expanded at any time from the Settings page, by anyone who has Administrator, Captain, or HR privileges.

There is also a list of 1030 codes offered to the biller in picklists on the Coding page. The list was collected from Novitas and other carriers as well as from claim data. Note that this list is for insurance claim purposes, and so it is independent of the aforementioned code lists in the PCR.

Use During Billing/Coding

Your billers/coders may choose to make use of the codes chosen by the attending and during QA review. Although the PCR's code lists are very general (most are .XXX) so as to be suitable for crew use, they may nevertheless be useful as starting points for coding the dispatch for insurance.

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