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| | DIC_implementation_date = 2018-11-24 | | | DIC_implementation_date = 2018-11-24 |
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| {{DA | 1ChronicVent still a question
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| * 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.
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| **AG REPLY TO TINA: Let's make this a soft crosscheck where the popup message is: "Acute respiratory diagnoses (e.g. pneumonia) in a person on chronic mechanical ventilation is possible of course. 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."
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| *** That says to make it a soft check, yet it also says that acute failure should not be allowed for chronic vents. Need to discuss further which of the two it should be.
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| *AG -- no make it a hard check but that tells them to instead combine it with the CAUSE of the acute resp problem, e.g. pneumonia.
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| | When this check triggers it gives the following error message: |
| | <blockquote>Patient has diagnoses '[[Chronic dependence on mechanical ventilator]]' and '[[Respiratory failure (insufficiency) NOS, acute]]', togeher. These can not be coded together. For chronic vent patients admitted with an acute respiratory diagnosis, code that diagnosis plus the chronic vent one; the acute resp code should NOT be coded.</blockquote> |
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