Query check ICD10 chronic vent acute resp failure

Data Integrity Checks
Summary:	Chronic dependence on mechanical ventilator should not be coded with Respiratory failure (insufficiency) NOS, acute
Related:	Chronic dependence on mechanical ventilator, Respiratory failure (insufficiency) NOS, acute
Firmness:	hard check
Timing:
App:	CCMDB.accdb
Coding:	query check_ICD10_chronic_vent_acute_resp_failure
Uses L Problem table:	not relevant for this app
Status:	implemented
Implementation Date:	2018-11-24
Backlogged:	true

	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 --- 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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