Query check ICD10 chronic vent acute resp failure: Difference between revisions

← Older edit

@@ Line 9: / Line 9: @@
 | DIC_implementation_date = 2018-11-24
 }}
-{{DA | 1ChronicVent
-* Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
+When this check triggers it gives the following error message:
-** I think this is more of a “how do we want to code and report this” question than a cross check question. Do we want to be able to code chronic vent with acute failure in some circumstances? If so, what are those circumstances. Or are they so complicated that we just need to abandon this check?
+<blockquote>Patient has diagnoses '[[Chronic dependence on mechanical ventilator]]' and '[[Respiratory failure (insufficiency) NOS, acute]]', togeher. These can not be coded together. For chronic vent patients admitted with an acute respiratory diagnosis, code that diagnosis plus the chronic vent one; the acute resp code should NOT be coded.</blockquote>
-*AG REPLY --- I feel your pain.  Since we DO want this crosscheck, the best solution is to remove the resp failure code here, and IF YOU WANT (not required) in it's place code the aspect of resp function that is now worse, e.g. [[Hypoxemia (hypoxia)]]
-}}
 == Related articles ==
 {{Related Articles}}
-[[Category: ICD10 Dx check]]
+[[Category:ICD10 Dx check]]