Respiratory failure (insufficiency), chronic: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
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{{ICD10 dx | {{ICD10 dx | ||
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| ICD10 Code=J96.19 | | ICD10 Code=J96.19 | ||
| BugRequired= | | BugRequired= | ||
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{{ICD10 category|Respiratory}} | |||
== Additional Info == | == Additional Info == | ||
*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 == | ||
*[[Respiratory failure (insufficiency) NOS, acute]] | |||
*[[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]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 07:40, 21 July 2022
| ICD10 Diagnosis | |
| Dx: | Respiratory failure (insufficiency), chronic |
| ICD10 code: | J96.19 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | Respiratory |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- 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 or in addition
- Respiratory failure (insufficiency) NOS, acute
- 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
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories