Respiratory failure (insufficiency), chronic: Difference between revisions

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== Additional Info ==

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

*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 ==

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

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

*[[Chronic dependence on mechanical ventilator]]

*[[Hypercapnia (hypercarbia)]]

*[[Hypoxemia (hypoxia)]]

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== 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 12: / Line 12: @@
 == Additional Info ==
-Also code [[Chronic dependence on mechanical ventilator]] if present.
+*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 ==
@@ Line 18: / Line 31: @@
 *[[Respiratory failure (insufficiency), chronic]]
 *[[Respiratory failure (insufficiency) NOS, not specified as acute or chronic]]
+*[[Chronic dependence on mechanical ventilator]]
 *[[Hypercapnia (hypercarbia)]]
 *[[Hypoxemia (hypoxia)]]
@@ Line 25: / Line 39: @@
 == 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}}