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

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 | DIC_status = implemented
 | DIC_implementation_date = 2018-11-24
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-{{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.
-*AG REPLY TO TINA:  Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course.  Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence.  In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."
 }}
+When this check triggers it gives the following error message:
+<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>
 == Related articles ==
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-[[Category: ICD10 Dx check]]
+[[Category:ICD10 Dx check]]