Chronic dependence on mechanical ventilator: Difference between revisions
Jump to navigation
Jump to search
Ttenbergen (talk | contribs) |
Ttenbergen (talk | contribs) mNo edit summary |
||
| Line 14: | Line 14: | ||
== Additional Info == | == Additional Info == | ||
*Here are the rules for when you can this code: | *Here are the rules for when you can this code: | ||
* | *# If patient comes into hospital, from home or a chronic care facility where he/she is on the ventilator, then use this code as a [[Comorbid Diagnosis]]. | ||
* | *#* 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. | ||
*# 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 as a [[Acquired Diagnosis / Complication]]. | |||
*#* 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. | |||
{{DiscussAllan | I don't think that those two things follow logically. If pt arrived at Unit 1 with this code as comorbid and is then moved to Unit 2, why would the collector there not code them as this? Or if a newly ventilated patient is initially discharged from Unit A to Unit B and then home from there, but it is pretty clear that the pt will be going home ventilated, why would Unit A not code it, possibly as admit? Also, will want to try to keep this as consistent and non-duplicated with [[Comorbid Diagnosis]] as possible. Ttenbergen 15:22, 2018 May 31 (CDT)}} | |||
*Also code cause if known | *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). | *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). | ||
Revision as of 14:22, 31 May 2018
| ICD10 Diagnosis | |
| Dx: | Chronic dependence on mechanical ventilator |
| ICD10 code: | Z99.1 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | Respiratory |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Here are the rules for when you can this code:
- If patient comes into hospital, from home or a chronic care facility where he/she is on the ventilator, then use this code as a Comorbid Diagnosis.
- 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.
- 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 as a Acquired Diagnosis / Complication.
- 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.
- If patient comes into hospital, from home or a chronic care facility where he/she is on the ventilator, then use this code as a Comorbid Diagnosis.
- 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).
Alternate ICD10s to consider coding instead or in addition
- 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
- Generally when you code this you should also combine it with Respiratory failure (insufficiency), chronic
Related CCI Codes
Conversion from our old diagnosis schema to ICD10/CCI
Might receive data from R Filter Field; see details on that page.
Template:CCMDB Data Integrity Checks
Related Articles
Show all ICD10 Subcategories