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

Revision as of 08:30, 30 October 2019

Data Integrity Checks
Summary:	Chronic dependence on mechanical ventilator should not be coded with Respiratory failure (insufficiency) NOS, acute
Related:	Chronic dependence on mechanical ventilator, Respiratory failure (insufficiency) NOS, acute
Firmness:	hard check
Timing:
App:	CCMDB.accdb
Coding:	query check_ICD10_chronic_vent_acute_resp_failure
Uses L Problem table:	not relevant for this app
Status:	implemented
Implementation Date:	2018-11-24
Backlogged:	true

	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. 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. AG -- no make it a hard check but that tells them to instead combine it with the CAUSE of the acute resp problem, e.g. pneumonia.

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 **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.
+*AG -- no make it a hard check but that tells them to instead combine it with the CAUSE of the acute resp problem, e.g. pneumonia.
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