Chronic dependence on mechanical ventilator: Difference between revisions
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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 from a in a ''CHRONIC care facility'' and he/she is on the ventilator, then use this code as a [[Comorbid Diagnosis]]. | ||
*#* | *#* if the patient comes to you on a ventilator '''from any '''ACUTE care facility (including IICU),''' do NOT use this code. | ||
*# | *# if a patient who previously was ''not'' on ''chronic MV'' leaves the hospital to go to home or to a chronic care facility on a ventilator, use this code as a [[Acquired Diagnosis / Complication]]. | ||
*#* | *#* 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 or more''', without any planned extubations or unsupported spontaneous breathing during that time, then use ''chronic dependence on mechanical ventilator'' 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 or more''', without any planned extubations or unsupported spontaneous breathing during that time, then use ''chronic dependence on mechanical ventilator'' as an [[Acquired Diagnosis / Complication]]. | ||
*Also code cause if known | *Also code cause if known | ||
*Do NOT use this code for "Failure to wean" - | *Do NOT use this code for "Failure to wean" - it 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 == | == Alternate ICD10s to consider coding instead or in addition == | ||