Query check ICD10 chronic vent acute resp failure: Difference between revisions
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| DIC_implementation_date = 2018-11-24 | | DIC_implementation_date = 2018-11-24 | ||
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{{ | {{DA | 1ChronicVent still a question | ||
* 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. | * 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." | **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." | ||
*** That says to make it a soft check, yet it also says that acute failure should not be allowed for chronic vents. Need to discuss further which of the two it should be. | |||
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