Respiratory Arrest: Difference between revisions

(43 intermediate revisions by 6 users not shown)

Line 1:

~~{{DX tag | [[:Category: Cardiovascular Problems | Cardiovascular Problems]] | [[:Category~~: ~~Medical Problem | Medical Problem]] | [[:Category: Arrest | Arrest]] | Respiratory Arrest-Witnessed |~~ [[~~10003 -~~Respiratory ~~Arrest~~]] ~~| No | 0 | CC & Med | Currently Collected | | }}~~

#redirect:[[Respiratory arrest]]

====~~=Data Integrity Rule~~ -~~as of 5 June 2000=====~~

{{LegacyContent

|explanation= pre-IDC10 Code

|successor=Respiratory arrest

|content=

{{PreICD10 dx

| NewDxArticle = Respiratory arrest

}}

{{DX tag | Cardiovascular Problems | Medical Problem|Arrest |Respiratory Arrest-Witnessed|10003 -Respiratory Arrest|No|0|CC & Med|Currently Collected||October 22, 2015}}

*We have eliminated the respiratory arrest code. We already code the reason for the respiratory difficulty, (like CHF or COPD exacerbation, or sedative- related resp. failure., etc.). We will only put in the respiratory problem and not the respiratory arrest. If the pt is intubated, this is captured on the tiss in the ICU where the pt will end up if they are not already there. This was discussed at the task group meeting on October 20th, 2015 and it was decided to eliminate this coded as unnecessary. Tina will be taking it out of CCMDB in the near future. [[Change Priorities]]--[[User:LKolesar|LKolesar]] 12:18, 2015 October 20 (CDT)

'''Never use 100-03 as ~~primary admit diagnosis~~.''' ~~Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':~~

as of 5 June 2000

* A. “99” is called

'''Never use respiratory arrest (Code: 100-0300 as [[Primary Admit Diagnosis]].'''

* B. “99” record is completed

* C. Pulse is present

* D. Intubation is required

Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':

* A. Code Blue is usually called

* B. Code Blue record is usually completed(in some cases won't be filled in)

* C. ''' Pulse is present'''

* D. ''' INTUBATION is required'''

**the above provide "minimal" guidelines to follow, however not all cases follow the exact rules. If it looks like resp arrest and smells like resp arrest, code it as resp arrest.

*Resp arrest is never a admit 1 code, there is usually a reason for it, like CHF, COPD exac.etc. This always be coded first.

*If patient progresses to full cardiac arrest then don't code resp arrest. That is redundant.

*see: [[Unwitnessed Cardiac Arrest]]

*see: [[Witnessed Cardiac Arrest]] and Cooling Protocol [[BRR]]

~~{{Discussion}}~~

*should this be called a Code Blue?[[User:JWinestock|JWinestock]] 11:10, 2 June 2009 (CDT)

**Code blue is not a diagnosis. A "Code Blue" is called for a patient in a hospital in the city that is in a state that may lead to a cardiac or resp arrest or if he has already arrested. Jackie, does this mean that when you see code blue at the Vic you code the DX as Respiratory arrest?[[User:TOstryzniuk|TOstryzniuk]] 14:23, 2 June 2009 (CDT)

[[Category: ~~Diagnosis Coding]]~~

[[Category: Arrest (old)]]

~~[[Category: Medical Problem~~]]

}}

~~[[Category: Arrest]]~~

@@ Line 1: / Line 1: @@
-{{DX tag | [[:Category: Cardiovascular Problems | Cardiovascular Problems]] | [[:Category: Medical Problem | Medical Problem]] | [[:Category: Arrest | Arrest]] | Respiratory Arrest-Witnessed | [[10003 -Respiratory Arrest]] | No | 0 | CC & Med | Currently Collected |  | }}
+#redirect:[[Respiratory arrest]]
-=====Data Integrity Rule -as of 5 June 2000=====
+{{LegacyContent
+|explanation= pre-IDC10 Code
+|successor=Respiratory arrest
+|content=
+{{PreICD10 dx
+| NewDxArticle = Respiratory arrest
+}}
+{{DX tag | Cardiovascular Problems | Medical Problem|Arrest |Respiratory Arrest-Witnessed|10003 -Respiratory Arrest|No|0|CC & Med|Currently Collected||October 22, 2015}}
+*We have  eliminated the respiratory arrest code.  We already code the reason for the respiratory difficulty, (like CHF or COPD exacerbation, or sedative- related resp. failure., etc.).   We will only put in the respiratory problem and not the respiratory arrest.  If the pt is intubated, this is captured on the tiss in the ICU where the pt will end up if they are not already there.  This was discussed at the task group meeting on October 20th, 2015 and it was decided to eliminate this coded as unnecessary. Tina will be taking it out of CCMDB in the near future.  [[Change Priorities]]--[[User:LKolesar|LKolesar]] 12:18, 2015 October 20 (CDT)
-'''Never use 100-03 as primary admit diagnosis.''' Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':
+as of 5 June 2000
-* A.    “99” is called
+'''Never use respiratory arrest (Code: 100-0300  as [[Primary Admit Diagnosis]].'''
-* B.    “99” record is completed
-* C.    Pulse is present
-* D.    Intubation is required
+Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':
+* A.    Code Blue is usually called
+* B.    Code Blue record is usually completed(in some cases won't be filled in)
+* C. '''   Pulse is present'''
+* D.   ''' INTUBATION is required'''
+**the above provide "minimal" guidelines to follow, however not all cases follow the exact rules.  If it looks like resp arrest and smells like resp arrest, code it as resp arrest.
+*Resp arrest is never a admit 1 code, there is usually a reason for it, like CHF, COPD exac.etc.  This always be coded first.
+*If patient progresses to full cardiac arrest then don't code resp arrest.  That is redundant.
 *see: [[Unwitnessed Cardiac Arrest]]
 *see: [[Witnessed Cardiac Arrest]] and Cooling Protocol [[BRR]]
-{{Discussion}}
-*should this be called a Code Blue?[[User:JWinestock|JWinestock]] 11:10, 2 June 2009 (CDT)
-**Code blue is not a diagnosis.  A "Code Blue" is called for a patient in a hospital in the city that is in a state that may lead to a cardiac or resp arrest or if he has already arrested.  Jackie, does this mean that when you see code blue at the Vic you code the DX as Respiratory arrest?[[User:TOstryzniuk|TOstryzniuk]] 14:23, 2 June 2009 (CDT)
-[[Category: Diagnosis Coding]]
+[[Category: Arrest (old)]]
-[[Category: Medical Problem]]
+}}
-[[Category: Arrest]]