Respiratory failure (insufficiency), chronic: Difference between revisions

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| OldDxArticle =| CurrentStatus = ~~manually added for testing~~

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| CurrentStatus = reconciled

| InitialEditorAssigned = Tina Tenbergen

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{{ICD10 dx

| MinimumCombinedCodes =

| ICD10 Code=J96.19

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== Additional Info ==

~~also~~ code ~~chronic~~ dependence on mechanical ventilator if present~~; {sc~~:~~hypoxemia~~, ~~hypercapnia}~~

*Note that this code covers not just overt respiratory failure, but all levels of respiratory insufficiency.

**e.g. You can use it for a chronically hypercapnic COPD patient, or for a chronically hypoxemic pulmonary fibrosis patient, etc.

*This code would likely be the main admit diagnosis to IICU for a large number of patients going to that unit

**And furthermore, it's appropriate in the ICU record prior to IICU transfer to code it as an acquired diagnosis.

*Also code the cause if known.

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

*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 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 ==

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

(~~turn these into links to the actual diagnosis articles if possible. For some that might make no sense.~~)

*[[Respiratory failure (insufficiency) NOS, acute]]

~~{sc:hypoxemia~~, ~~hypercapnia}~~

*[[Respiratory failure (insufficiency), chronic]]

*[[Respiratory failure (insufficiency) NOS, not specified as acute or chronic]]

*[[Chronic dependence on mechanical ventilator]]

*[[Hypercapnia (hypercarbia)]]

*[[Hypoxemia (hypoxia)]]

*[[ARDS (noncardiogenic pulmonary edema)]]

*[[Transfusion-related acute lung injury (TRALI, form of ARDS)]]

*[[Respiratory arrest]]

== Candidate [[Combined ICD10 codes]] ==

~~(put links to likely candidates coded with this one, eg. a cause for a trauma.)~~

== Related CCI Codes ==

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =| CurrentStatus = manually added for testing
+| OldDxArticle =
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Tina Tenbergen
-| MinimumCombinedCodes =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes =
 | ICD10 Code=J96.19
 | BugRequired=
 }}
+{{ICD10 category|Respiratory}}
 == Additional Info ==
-also code chronic dependence on mechanical ventilator if present; {sc:hypoxemia, hypercapnia}
+*Note that this code covers not just overt respiratory failure, but all levels of respiratory insufficiency.
+**e.g. You can use it for a chronically hypercapnic COPD patient, or for a chronically hypoxemic pulmonary fibrosis patient, etc.
+*This code would likely be the main admit diagnosis to IICU for a large number of patients going to that unit
+**And furthermore, it's appropriate in the ICU record prior to IICU transfer to code it as an acquired diagnosis.
+*Also code the cause if known.
+*Also code '''[[Chronic dependence on mechanical ventilator]]''' if present.
+*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 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 ==
+== Alternate ICD10s to consider coding instead or in addition ==
-(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
+*[[Respiratory failure (insufficiency) NOS, acute]]
-{sc:hypoxemia, hypercapnia}
+*[[Respiratory failure (insufficiency), chronic]]
+*[[Respiratory failure (insufficiency) NOS, not specified as acute or chronic]]
+*[[Chronic dependence on mechanical ventilator]]
+*[[Hypercapnia (hypercarbia)]]
+*[[Hypoxemia (hypoxia)]]
+*[[ARDS (noncardiogenic pulmonary edema)]]
+*[[Transfusion-related acute lung injury (TRALI, form of ARDS)]]
+*[[Respiratory arrest]]
 == Candidate [[Combined ICD10 codes]] ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
+{{ICD10 footer}}
+{{EndPlaceHolder}}