Chronic dependence on mechanical ventilator: Difference between revisions
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{{ICD10 dx | {{ICD10 dx | ||
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{{ICD10 category|Respiratory}} {{ICD10 category|Misc}} | {{ICD10 category|Respiratory}}{{ICD10 category|Misc}} | ||
{{ICD10 category|Healthcare contact | {{ICD10 category|Healthcare contact}} | ||
== Additional Info == | == Additional Info == | ||
*Here are the rules for when you can this code: | *Here are the rules for when you can this code: | ||
*# if patient comes into hospital, from home or from a in a ''CHRONIC care facility'' and he/she is on the ventilator, then use this code as a [[Comorbid Diagnosis]]. | *# if patient comes into hospital, from home or from a bed in a ''CHRONIC care facility'' and he/she is on the ventilator, then use this code as a [[Comorbid Diagnosis]]. | ||
*#* if the patient comes to you on a ventilator '''from any '''ACUTE care facility (including IICU),''' do NOT use this code. | *#* if the patient comes to you on a ventilator '''from any '''ACUTE care facility (including IICU),''' do NOT use this code. | ||
*# if a patient who previously was ''not'' on ''chronic MV'' leaves the hospital to go to home or to a chronic care facility on a ventilator, use this code as a [[Acquired Diagnosis / Complication]]. | *# if a patient who previously was ''not'' on ''chronic MV'' leaves the hospital to go to home or to a chronic care facility on a ventilator, use this code as a [[Acquired Diagnosis / Complication]]. | ||
*#* if the patient leaves on a ventilator to go to another acute care facility (including IICU) you do NOT use this code. | *#* if the patient leaves on a ventilator to go to another acute care facility (including IICU) and was not on a vent before admission, you do NOT use this code. | ||
*# If a patient who had some sort of acute respiratory failure and during a continuous episode of hospital care (which could include interhospital transfers), has been on invasive mechanical ventilation for at least '''90 days or more''', without any ''planned'' extubations or unsupported spontaneous breathing during that time, then use ''chronic dependence on mechanical ventilator'' as an [[Acquired Diagnosis / Complication]]. | *# If a patient who had some sort of acute respiratory failure and during a continuous episode of hospital care (which could include interhospital transfers), has been on invasive mechanical ventilation for at least '''90 days or more''', without any ''planned'' extubations or unsupported spontaneous breathing during that time, then use ''chronic dependence on mechanical ventilator'' as an [[Acquired Diagnosis / Complication]]. | ||
*NOTE: Someone can have this code AND also have acute respiratory event. Example is a person with COPD in Riverview on chronic vent, who develops a superimposed pneumonia with severe hypoxemia. This person should have coded: [[Chronic dependence on mechanical ventilator]] and a code for the pneumonia (but | |||
*Also code cause if known | *Also code cause if known | ||
*Do NOT use this code for "Failure to wean" | *Do NOT use this code for "Failure to wean" (which is not a valid ICD10 diagnosis). Code the type of respiratory failure present, see alternate dxs below. | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
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== [[Conversion from our old diagnosis schema to ICD10/CCI]] == | == [[Conversion from our old diagnosis schema to ICD10/CCI]] == | ||
Received data from [[R Filter Field]]/[[LTV]]; see details on that page. | |||
{{Data Integrity Check List}} | |||
== Legacy info == | == Legacy info == | ||