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Chronic dependence on mechanical ventilator: Difference between revisions

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Agarland (talk | contribs)
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== 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]].   
*# If patient comes into hospital, at at home or a in a chronic care facility 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.
*#* 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]].   
*# 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.
*#* 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 a patient who had some sort of acute respiratory failure and during a continuous episode of hospital care (which could include interhospital transfers), has been on invasive mechanical ventilation for at least 90 days, without any extubations or unsupported spontaneous breathing during that time, then use this code as an [[Acquired Diagnosis / Complication]].
*# If a patient who had some sort of acute respiratory failure and during a continuous episode of hospital care (which could include interhospital transfers), has been on invasive mechanical ventilation for at least 90 days, without any extubations or unsupported spontaneous breathing during that time, then use this code as an [[Acquired Diagnosis / Complication]].
{{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
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