Chronic dependence on mechanical ventilator: Difference between revisions

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== Additional Info ==
== Additional Info ==
also code cause if known
*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.
**(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.
*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).


Excludes:
* Do not use this code for "Failure to wean" type patients. Code actual [[Respiratory Failure]] code.
{{DiscussAllan |
*when does "chronic" become true, ie permanent or after a year etc? }}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
*[[Respiratory failure (insufficiency), chronic]]
*[[Respiratory failure (insufficiency), chronic]]
*[[Respiratory failure (insufficiency) NOS, acute]]
*[[Respiratory failure (insufficiency) NOS, not specified as acute or chronic]]
*[[Respiratory disorder, postprocedure/postop NOS]]


== Candidate [[Combined ICD10 codes]] ==
== Candidate [[Combined ICD10 codes]] ==
*Generally when you code this you should also combine it with '''[[Respiratory failure (insufficiency), chronic]]'''


== Related CCI Codes ==
== Related CCI Codes ==