Query check ICD10 chronic vent acute resp failure: Difference between revisions

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 {{DA | 1ChronicVent
 * Question from Joanna: "Question for you… I have a patient on chronic vent at home. He develops a raging pneumonia and has to be admitted to ICU in respiratory failure. I combined the Chronic dependence on mechanical ventilator code with [[Pneumonia, NOS]] and [[Respiratory failure (insufficiency) NOS, acute]], but I’m getting the following cross check error when I try to check off the diagnosis box:" (link to this page): Patient has a chronic vent code and an acute respiratory failure, which should not be happening in same pt.
-** I think this is more of a “how do we want to code and report this” question than a cross check question. Do we want to be able to code chronic vent with acute failure in some circumstances? If so, what are those circumstances. Or are they so complicated that we just need to abandon this check?
+*AG REPLY TO TINA:  Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses in a person on chronic mechanical ventilation is possible but RARE.  Are you certain both of these codes are appropriate here. Note that we do NOT allow [[Respiratory failure (insufficiency) NOS, acute]] with chronic vent dependence.  In this case, consider the pneumonia (or other specific acute respiratory diagnosis) as the primary."
-*AG REPLY --- I feel your pain.  Since we DO want this crosscheck, the best solution is to remove the resp failure code here, and IF YOU WANT (not required) in it's place code the aspect of resp function that is now worse, e.g. [[Hypoxemia (hypoxia)]]
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