Query check ICD10 chronic vent acute resp failure - Revision history

Ttenbergen: Text replacement - "[[Category: " to "[[Category:"

2025-07-30T16:56:21Z

Text replacement - "[[Category: " to "[[Category:"

← Older revision		Revision as of 11:56, 30 July 2025
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	[[Category: ICD10 Dx check]]		[[Category:ICD10 Dx check]]

Ttenbergen at 16:18, 30 October 2019

2019-10-30T16:18:22Z

← Older revision		Revision as of 11:18, 30 October 2019
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	\| DIC_implementation_date = 2018-11-24		\| DIC_implementation_date = 2018-11-24
	}}		}}
	~~{{DA \| 1ChronicVent still a question~~
	* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
	**AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."
	*** That says to make it a soft check, yet it also says that acute failure should not be allowed for chronic vents. Need to discuss further which of the two it should be.
	*AG -- no make it a hard check but that tells them to instead combine it with the CAUSE of the acute resp problem, e.g. pneumonia.

	}}		When this check triggers it gives the following error message:
			<blockquote>Patient has diagnoses '[[Chronic dependence on mechanical ventilator]]' and '[[Respiratory failure (insufficiency) NOS, acute]]', togeher. These can not be coded together. For chronic vent patients admitted with an acute respiratory diagnosis, code that diagnosis plus the chronic vent one; the acute resp code should NOT be coded.</blockquote>

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Agarland at 14:30, 30 October 2019

2019-10-30T14:30:13Z

← Older revision		Revision as of 09:30, 30 October 2019
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	**AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."		**AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."
	*** That says to make it a soft check, yet it also says that acute failure should not be allowed for chronic vents. Need to discuss further which of the two it should be.		*** That says to make it a soft check, yet it also says that acute failure should not be allowed for chronic vents. Need to discuss further which of the two it should be.
			*AG -- no make it a hard check but that tells them to instead combine it with the CAUSE of the acute resp problem, e.g. pneumonia.

	}}		}}

Ttenbergen at 20:23, 27 October 2019

2019-10-27T20:23:59Z

← Older revision		Revision as of 15:23, 27 October 2019
Line 9:		Line 9:
	\| DIC_implementation_date = 2018-11-24		\| DIC_implementation_date = 2018-11-24
	}}		}}
	{{DT \| 1ChronicVent		{{DA \| 1ChronicVent still a question
	* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.		* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
	*AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."		**AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."
			*** That says to make it a soft check, yet it also says that acute failure should not be allowed for chronic vents. Need to discuss further which of the two it should be.

	}}		}}

Ttenbergen at 15:36, 24 October 2019

2019-10-24T15:36:47Z

← Older revision		Revision as of 10:36, 24 October 2019
Line 9:		Line 9:
	\| DIC_implementation_date = 2018-11-24		\| DIC_implementation_date = 2018-11-24
	}}		}}
	{{DA \| 1ChronicVent		{{DT \| 1ChronicVent
	* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.		* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
	*AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."		*AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."

Agarland at 15:33, 24 October 2019

2019-10-24T15:33:27Z

← Older revision		Revision as of 10:33, 24 October 2019
Line 11:		Line 11:
	{{DA \| 1ChronicVent		{{DA \| 1ChronicVent
	* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.		* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
	*AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses in a person on chronic mechanical ventilation is possible ~~but RARE~~. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."		*AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."
	}}		}}

Agarland at 15:29, 24 October 2019

2019-10-24T15:29:43Z

← Older revision		Revision as of 10:29, 24 October 2019
Line 11:		Line 11:
	{{DA \| 1ChronicVent		{{DA \| 1ChronicVent
	* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.		* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
	** I think this is ~~more of~~ a ~~“how do we want to code and report this” question than a cross check question~~. ~~Do we want to be able to code chronic vent with acute failure in some circumstances? If so, what~~ are ~~those circumstances~~. ~~Or are they so complicated~~ that we ~~just need to abandon this check?~~		*AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses in a person on chronic mechanical ventilation is possible but RARE. Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence. In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."
	*AG REPLY --- I feel your pain. ~~Since we DO want~~ this ~~crosscheck~~, the ~~best solution is to remove the resp failure code here, and IF YOU WANT~~ (~~not required~~) ~~in it's place code~~ the ~~aspect of resp function that is now worse, e.g~~. ~~[[Hypoxemia (hypoxia)]]~~
	}}		}}

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	[[Category: ICD10 Dx check]]		[[Category: ICD10 Dx check]]

Ttenbergen at 16:04, 10 October 2019

2019-10-10T16:04:59Z

← Older revision		Revision as of 11:04, 10 October 2019
Line 9:		Line 9:
	\| DIC_implementation_date = 2018-11-24		\| DIC_implementation_date = 2018-11-24
	}}		}}
	{{DA \|		{{DA \| 1ChronicVent
	* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.		* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
	** I think this is more of a “how do we want to code and report this” question than a cross check question. Do we want to be able to code chronic vent with acute failure in some circumstances? If so, what are those circumstances. Or are they so complicated that we just need to abandon this check?		** I think this is more of a “how do we want to code and report this” question than a cross check question. Do we want to be able to code chronic vent with acute failure in some circumstances? If so, what are those circumstances. Or are they so complicated that we just need to abandon this check?

Agarland at 15:50, 3 October 2019

2019-10-03T15:50:26Z

← Older revision		Revision as of 10:50, 3 October 2019
Line 12:		Line 12:
	* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.		* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
	** I think this is more of a “how do we want to code and report this” question than a cross check question. Do we want to be able to code chronic vent with acute failure in some circumstances? If so, what are those circumstances. Or are they so complicated that we just need to abandon this check?		** I think this is more of a “how do we want to code and report this” question than a cross check question. Do we want to be able to code chronic vent with acute failure in some circumstances? If so, what are those circumstances. Or are they so complicated that we just need to abandon this check?
			*AG REPLY --- I feel your pain. Since we DO want this crosscheck, the best solution is to remove the resp failure code here, and IF YOU WANT (not required) in it's place code the aspect of resp function that is now worse, e.g. [[Hypoxemia (hypoxia)]]
	}}		}}
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Ttenbergen: Text replacement - "CCMDB.mdb" to "CCMDB.accdb"

2019-09-22T17:01:48Z

Text replacement - "CCMDB.mdb" to "CCMDB.accdb"

← Older revision		Revision as of 12:01, 22 September 2019
Line 4:		Line 4:
	\| DIC_firmness = hard check		\| DIC_firmness = hard check
	\| DIC_timing =		\| DIC_timing =
	\| DIC_app = CCMDB.~~mdb~~		\| DIC_app = CCMDB.accdb
	\| DIC_coding = query check_ICD10_chronic_vent_acute_resp_failure		\| DIC_coding = query check_ICD10_chronic_vent_acute_resp_failure
	\| DIC_status = implemented		\| DIC_status = implemented