IRR Testing for Inpatient Case Managers
M-160: Febrile illness, without Focal infection
M-60: Asthma
OC-030: Pneumonia: Observation Care
M-282: Pneumonia: Community Acquired
Hemodynamic Instability
Oxygen Saturation less than 90% while breathing room air
Complicated pleural effusions (eg. exudative, loculated)
All of the above
107
57
119
129
1 day
4 days
3 days
Ambulatory or 2 days
M-123: Dehydration
MG-SIC: Systemic or Infectious Condition GRG
M-300: Pyelonephritis, Acute
M-326: Renal Failure, Acute
Hemodynamic Instability
Immunocompromised State (eg. AIDS, Diabetes, Sickle Cell Disease)
Outpatient Treatment has failed or is not feasible
All of the above
Ambulatory or One Day
Ambulatory or Two Days
None of the Above
M-70: Cellulitis
MG-MD: Musculoskeletal disease, GRG
OC-053: Venom Exposure from Bite or Sting: Observation Care
High risk co-morbid condition
Failure of outpatient therapy
Hemodynamic instability
None of the above
Approve inpatient request for admission
Refer to the Medical Director for review