Respiratory failure (insufficiency), chronic: Difference between revisions

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*Also code the cause if known.

*Also code '''[[Chronic dependence on mechanical ventilator]]''' if present.

*Use this code for a patient who comes ~~into~~ ward or ICU from home or a chronic care facility or IICU, where respiratory insufficiency or failure has been present -- in this situation use this code as a [[Comorbid Diagnosis]].

*Use this code for a patient who comes to the ward or ICU from home or a chronic care facility or IICU, where respiratory insufficiency or failure has been present -- in this situation use this code as a [[Comorbid Diagnosis]]. (ie. Home O2)

*When a patient develops chronic ~~resppiratory~~ insufficiency or failure after the start of their current database record, code it as an '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors.

*When a patient develops chronic respiratory insufficiency or failure after the start of their current database record, code it as an '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors.

*For a typical '''IICU''' patient, use the following codes if applicable:

**[[Respiratory failure (insufficiency), chronic]] in admit codes. (If the patient came from another unit (ex.MICU) this code would be an acquired diagnosis in that profile).

**Code the underlying cause for the respiratory failure (ex. GBS, C-spine injury, etc).

**[[Muscle, wasting/atrophy NOS]]

**[[Tracheostomy, has one]]

== Alternate ICD10s to consider coding instead or in addition ==

@@ Line 18: / Line 18: @@
 *Also code the cause if known.
 *Also code '''[[Chronic dependence on mechanical ventilator]]''' if present.
-*Use this code for a patient who comes into ward or ICU from home or a chronic care facility or IICU, where respiratory insufficiency or failure has been present -- in this situation use this code as a [[Comorbid Diagnosis]].
+*Use this code for a patient who comes to the ward or ICU from home or a chronic care facility or IICU, where respiratory insufficiency or failure has been present -- in this situation use this code as a [[Comorbid Diagnosis]]. (ie. Home O2)
-*When a patient develops chronic resppiratory insufficiency or failure after the start of their current database record, code it as an '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors.
+*When a patient develops chronic respiratory insufficiency or failure after the start of their current database record, code it as an '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors.
 *For a typical '''IICU''' patient, use the following codes if applicable:
 **[[Respiratory failure (insufficiency), chronic]] in admit codes. (If the patient came from another unit (ex.MICU) this code would be an acquired diagnosis in that profile).
 **Code the underlying cause for the respiratory failure (ex. GBS, C-spine injury, etc).
 **[[Muscle, wasting/atrophy NOS]]
 **[[Tracheostomy, has one]]
 == Alternate ICD10s to consider coding instead or in addition ==