Chronic dependence on mechanical ventilator: Difference between revisions

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 == Additional Info ==
 *Here are the rules for when you can this code:
-**(1) If patient comes into hospital, from home or a chronic care facility where he/she is on the ventilator, then use this code in the diagnosis bin of "comorbids".  So, it follows that if the patient comes to you on a ventilator from any acute care facility (including IICU) you do NOT use this code.
+*# If patient comes into hospital, from home or a chronic care facility where he/she is on the ventilator, then use this code as a [[Comorbid Diagnosis]].
-**(2) If a patient who previously was not on chronic MV leaves the hospital to go to home or a chronic care facility on the ventilator, use this code in the diagnosis bin of "acquired in hospital".  So, it follows that if the patient leaves on a ventilator to go to another acute care facility (including IICU) you do NOT use this code.
+*#* So, it follows that if the patient comes to you on a ventilator '''from any acute care facility (including IICU)''' you do NOT use this code.
+*# If a patient who previously was not on chronic MV leaves the hospital to go to home or a chronic care facility on the ventilator, use this code as a [[Acquired Diagnosis / Complication]].
+*#* So, it follows that if the patient leaves on a ventilator to go to another acute care facility (including IICU) you do NOT use this code.
+{{DiscussAllan | I don't think that those two things follow logically. If pt arrived at Unit 1 with this code as comorbid and is then moved to Unit 2, why would the collector there not code them as this? Or if a newly ventilated patient is initially discharged from Unit A to Unit B and then home from there, but it is pretty clear that the pt will be going home ventilated, why would Unit A not code it, possibly as admit? Also, will want to try to keep this as consistent and non-duplicated with [[Comorbid Diagnosis]] as possible. Ttenbergen 15:22, 2018 May 31 (CDT)}}
 *Also code cause if known
 *Do NOT use this code for "Failure to wean" -- that is not a valid ICD10 diagnosis. Code the type of respiratory failure present (acute, chronic, NOS).