Respiratory Arrest

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

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Category/Organ System:	Category: Cardiovascular Problems (old)
Type:	[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]]
Main Diagnosis:	Arrest
Sub Diagnosis:	Respiratory Arrest-Witnessed
Diagnosis Code:	10003 -Respiratory Arrest
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:	CC & Med
Status:	Currently Collected

Data Integrity Rule -as of 5 June 2000

Never use 100-03 as primary admit diagnosis. Always code the reason for the respiratory arrest first, then code 100-3 only if the following criteria are met:

• A. Code Blue is usually called
• B. Code Blue record is usually completed(in some cases won't be filled in)
• C. Pulse is present
• D. Intubation is required

• • the above provide "minimal" guidelines to follow, however not all cases follow the exact rules. If it looks like resp arrest and smells like resp arrest, code it as resp arrest.
• Resp arrest is never a admit 1 code, there is usually a reason for it, like CHF, COPD exac.etc. This always be coded first.
• If patient progresses to full cardiac arrest then don't code resp arrest. That is redundant.

• see: Unwitnessed Cardiac Arrest
• see: Witnessed Cardiac Arrest and Cooling Protocol BRR

Discussion

In an emergency situtation if a patient requires intubation code it a repiratory arrest.This applies to cases who may not have had a code blue called or a code blue record filled out. Thanks to Marie Laporte and Trish for clearing this issue up.GHall 11:01, 28 July 2011 (CDT)