Respiratory Arrest: Difference between revisions

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{{DX tag | Cardiovascular Problems | [[:Category: Medical Problem | Medical Problem]] | [[:Category: Arrest | Arrest]] | Respiratory Arrest-Witnessed | [[10003 -Respiratory Arrest]] | No | 0 | CC & Med | Currently Collected |  | }}
#redirect:[[Respiratory arrest]]


=====Data Integrity Rule -as of 5 June 2000=====
{{LegacyContent
|explanation= pre-IDC10 Code
|successor=Respiratory arrest
|content=
{{PreICD10 dx
| NewDxArticle = Respiratory arrest
}}
{{DX tag | Cardiovascular Problems | Medical Problem|Arrest |Respiratory Arrest-Witnessed|10003 -Respiratory Arrest|No|0|CC & Med|Currently Collected||October 22, 2015}}


*We have  eliminated the respiratory arrest code.  We already code the reason for the respiratory difficulty, (like CHF or COPD exacerbation, or sedative- related resp. failure., etc.).  We will only put in the respiratory problem and not the respiratory arrest.  If the pt is intubated, this is captured on the tiss in the ICU where the pt will end up if they are not already there.  This was discussed at the task group meeting on October 20th, 2015 and it was decided to eliminate this coded as unnecessary. Tina will be taking it out of CCMDB in the near future.  [[Change Priorities]]--[[User:LKolesar|LKolesar]] 12:18, 2015 October 20 (CDT)


'''Never use 100-03 as primary admit diagnosis.''' Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':
as of 5 June 2000
* A.    Code Blue is called
'''Never use respiratory arrest (Code: 100-0300  as [[Primary Admit Diagnosis]].'''
* B.    Code Blue record is completed
* C.    Pulse is present
* D.    Intubation is required


Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':
* A.    Code Blue is usually called
* B.    Code Blue record is usually completed(in some cases won't be filled in)
* C. '''  Pulse is present'''
* D.  ''' INTUBATION is required'''
**the above provide "minimal" guidelines to follow, however not all cases follow the exact rules.  If it looks like resp arrest and smells like resp arrest, code it as resp arrest. 
*Resp arrest is never a admit 1 code, there is usually a reason for it, like CHF, COPD exac.etc.  This always be coded first.
*If patient progresses to full cardiac arrest then don't code resp arrest.  That is redundant.


*see: [[Unwitnessed Cardiac Arrest]]
*see: [[Unwitnessed Cardiac Arrest]]
*see: [[Witnessed Cardiac Arrest]] and Cooling Protocol [[BRR]]
*see: [[Witnessed Cardiac Arrest]] and Cooling Protocol [[BRR]]


[[Category: Diagnosis Coding]]
[[Category: Medical Problem]]
[[Category: Arrest]]
=====Discussion=====
{{Discussion}}
I'm not sure the above rules are realistic in terms of code blue records and a code being called.Some patients are intubated on the ward and brought to ICU or intubated immediately on arrival without an actual code being called. I would think they would be coded respiratory arrest regardless of a code call or not.What do the rest of the ICU collectors do?If everyone is sticking to all of the rules I will remove this discussion. Thanks![[User:GHall|GHall]] 22:03, 7 July 2011 (CDT)


*I do code respiratory arrest for some situations that do not fit the above rules.  If a "Code 25" or "HMO STAT" is called or the attending MD is seeing the patient on the ward, and the patient requires immediate intubation-I code it as a respiratory arrest. The wards  often use their own familiar chart forms/addendums rather than the "Code Blue" record for such events; therefore, I do not stick to the rule " "Code Blue" record is completed". 
[[Category:Arrest (old)]]
I do not code respiratory arrest if the patient can "maintain their airway" for transport to ICU or ER for more of a controlled or 'elective intubation' (some sites send patients to ER for stabilization until bed available in ICU).[[User:Mlaporte|Mlaporte]] 16:49, 19 July 2011 (CDT)
}}

Latest revision as of 12:00, 30 July 2025

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Legacy Content

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  • Explanation: pre-IDC10 Code
  • Successor: Respiratory arrest

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Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

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edit dx infobox
Category/Organ
System: 		Category: Cardiovascular Problems (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Arrest
Sub Diagnosis: Respiratory Arrest-Witnessed
Diagnosis Code: 10003 -Respiratory Arrest
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Currently Collected
StopDate: October 22, 2015
  • We have eliminated the respiratory arrest code. We already code the reason for the respiratory difficulty, (like CHF or COPD exacerbation, or sedative- related resp. failure., etc.). We will only put in the respiratory problem and not the respiratory arrest. If the pt is intubated, this is captured on the tiss in the ICU where the pt will end up if they are not already there. This was discussed at the task group meeting on October 20th, 2015 and it was decided to eliminate this coded as unnecessary. Tina will be taking it out of CCMDB in the near future. Change Priorities--LKolesar 12:18, 2015 October 20 (CDT)

as of 5 June 2000 Never use respiratory arrest (Code: 100-0300 as Primary Admit Diagnosis.

Always code the reason for the respiratory arrest first, then code 100-3 only if the following criteria are met:

  • A. Code Blue is usually called
  • B. Code Blue record is usually completed(in some cases won't be filled in)
  • C. Pulse is present
  • D. INTUBATION is required
    • the above provide "minimal" guidelines to follow, however not all cases follow the exact rules. If it looks like resp arrest and smells like resp arrest, code it as resp arrest.
  • Resp arrest is never a admit 1 code, there is usually a reason for it, like CHF, COPD exac.etc. This always be coded first.
  • If patient progresses to full cardiac arrest then don't code resp arrest. That is redundant.
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