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.

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.

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 use by the crew, they may nevertheless be useful as starting points for coding the dispatch for insurance.

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