Chronic dependence on mechanical ventilator: Difference between revisions

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{{ICD10 transition status

| OldDxArticle =| CurrentStatus = ~~freshly automatically generated article~~

| OldDxArticle =

| InitialEditorAssigned = ~~Trish Ostryzniuk~~

| CurrentStatus = reconciled

~~| MinimumCombinedCodes =2~~

| InitialEditorAssigned =

}}

{{ICD10 dx

| MinimumCombinedCodes =2

| ICD10 Code=Z99.1

| BugRequired=

}}

~~{{ICD10 category|Mechanism}}~~

== Additional Info ==

also code cause if known

*Here are the rules for when you can this code:

*# 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 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) 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]].

*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

*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 ==

(~~turn these into links~~ to ~~the actual diagnosis articles if possible. For some~~ that ~~might make no sense~~.)

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

*[[Respiratory failure (insufficiency) NOS, acute]]

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

*[[Respiratory disorder, postprocedure/postop NOS]]

== Candidate [[Combined ICD10 codes]] ==

*Generally when you code this you should also combine it with '''[[Respiratory failure (insufficiency), chronic]]'''

== Related CCI Codes ==

== [[Conversion from our old diagnosis schema to ICD10/CCI]] ==

Received data from [[R Filter Field]]/[[LTV]]; see details on that page.

== ~~Candidate~~ [[~~Combined ICD10 codes~~]] ==

== Legacy info ==

~~(put links to likely candidates coded with this one, eg. a cause for a trauma~~.)

This used to be collected in [[LTV ]]/[[R_Filter]].

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =| CurrentStatus = freshly automatically generated article
+| OldDxArticle =
-| InitialEditorAssigned = Trish Ostryzniuk
+| CurrentStatus = reconciled
-| MinimumCombinedCodes =2
+| InitialEditorAssigned =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes =2
 | ICD10 Code=Z99.1
 | BugRequired=
 }}
+{{ICD10 category|Respiratory}}{{ICD10 category|Misc}}
+{{ICD10 category|Healthcare contact}}
-{{ICD10 category|Mechanism}}
 == Additional Info ==
-also code cause if known
+*Here are the rules for when you can this code:
+*# 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 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) 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]].
+*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
+*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 ==
-(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
+*[[Respiratory failure (insufficiency), chronic]]
+*[[Respiratory failure (insufficiency) NOS, acute]]
+*[[Respiratory failure (insufficiency) NOS, not specified as acute or chronic]]
+*[[Respiratory disorder, postprocedure/postop NOS]]
+== Candidate [[Combined ICD10 codes]] ==
+*Generally when you code this you should also combine it with '''[[Respiratory failure (insufficiency), chronic]]'''
+== Related CCI Codes ==
+== [[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}}
-== Candidate [[Combined ICD10 codes]] ==
+== Legacy info ==
-(put links to likely candidates coded with this one, eg. a cause for a trauma.)
+This used to be collected in [[LTV ]]/[[R_Filter]].
 == Related Articles ==