Respiratory failure (insufficiency), chronic: Difference between revisions
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*Also code the cause if known. | *Also code the cause if known. | ||
*Also code '''[[Chronic dependence on mechanical ventilator]]''' if present. | *Also code '''[[Chronic dependence on mechanical ventilator]]''' if present. | ||
*Use this code for a patient who comes into | *Use this code for a patient who comes into ward or ICU from home or a chronic care facility or IICU, where respiratory insufficiency or failure has been present -- in this situation use this code as a [[Comorbid Diagnosis]]. | ||
**But if the patient comes to hospital with respiratory insufficiency or failure directly from any acute care facility where it FIRST developed (i.e. was not present prior to admission to that sending acute care facility) you do NOT use this code. This applies even if this is the third or fourth transfer during same episode of hospital care. | **But if the patient comes to hospital with respiratory insufficiency or failure directly from any acute care facility (other than IICU) where it FIRST developed (i.e. was not present prior to admission to that sending acute care facility) you do NOT use this code. This applies even if this is the third or fourth transfer during same episode of hospital care. | ||
*In general do NOT use this code for someone with no pre-existing chronic respiratory insufficiency/failure, who came into hospital with (or developed while in hospital) acute respiratory failure -- EXCEPT you can use this code when someone with acute respiratory failure '''evolves''' into chronic respiratory insufficiency/failure during their time in hospital, for which this code would be a '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors. | *In general do NOT use this code for someone with no pre-existing chronic respiratory insufficiency/failure, who came into hospital with (or developed while in hospital) acute respiratory failure -- EXCEPT you can use this code when someone with acute respiratory failure '''evolves''' into chronic respiratory insufficiency/failure during their time in hospital, for which this code would be a '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors. | ||
{{DiscussTask| This is the first time I am reading the WIKI on this code. It looks like this code should be used as a comorb on some of our patients. in the pre ICD 10 codes, we had COPD-mild, moderate or severe as Comorb options, with guidelines for when to use each. It would be helpful to have some "cut-off" guidelines for when to use this code, rather than having it be subjective. For example, if someone has chronic COPD now, I am simply coding it in the COMORB field as [[COPD, without exacerbation]], even if that patient is on home oxygen.}} | {{DiscussTask| This is the first time I am reading the WIKI on this code. It looks like this code should be used as a comorb on some of our patients. in the pre ICD 10 codes, we had COPD-mild, moderate or severe as Comorb options, with guidelines for when to use each. It would be helpful to have some "cut-off" guidelines for when to use this code, rather than having it be subjective. For example, if someone has chronic COPD now, I am simply coding it in the COMORB field as [[COPD, without exacerbation]], even if that patient is on home oxygen.}} | ||